Lin J H, Chang M H, Teng R J, Yau K I, Wang T R
Department of Pediatrics, National Taiwan University Hospital, Taipei, R.O.C.
Zhonghua Min Guo Xiao Er Ke Yi Xue Hui Za Zhi. 1997 Sep-Oct;38(5):393-5.
A case of congenital short bowel syndrome with left acheiria, hemivertebra and dextrocardia is described. Dilatation of the fetal bowel was observed at the 24th week of gestation during a routine ultrasonic scan of a healthy 23-year-old primigravida from a non-consanguineous marriage. Amniocentesis and chorionic villus sampling were denied. The baby was delivered at 38 weeks of gestational age. After delivery, multiple anomalies were noted: left acheiria, congenital short bowel syndrome (15 cm in length of the ileum), pseudo-obstruction of intestine, dextrocardia, and hemivertebrae. We suspected these abnormalities might be due to a vascular accident or failure of lateralization during the early gestational period. To our knowledge, these combinations have not been reported previously in English literature.
本文描述了一例患有先天性短肠综合征并伴有左侧无手畸形、半椎体和右位心的病例。在对一名来自非近亲婚姻的健康23岁初产妇进行常规超声扫描时，于妊娠第24周观察到胎儿肠道扩张。孕妇拒绝进行羊水穿刺和绒毛取样。婴儿在孕38周时分娩。出生后，发现了多种异常情况：左侧无手畸形、先天性短肠综合征（回肠长度为15厘米）、肠道假性梗阻、右位心和半椎体。我们怀疑这些异常可能是由于妊娠早期的血管意外或侧化失败所致。据我们所知，这些异常组合在以前的英文文献中尚未有报道。
