Akel S, Halabi J, Shawis R
American University of Beirut Medical Center, Lebanon.
Eur J Pediatr Surg. 1998 Feb;8(1):55-7. doi: 10.1055/s-2008-1071120.
Abdominal situs inversus carries a significant mortality because the majority of cases (95 %) have associated cardiac and splenic defects. A review of all cases reported in the English literature confirms in addition the presence of significant gastro-intestinal pathologies, mainly annular pancreas, midgut volvulus and duodenal atresia. We report on an additional case of abdominal situs inversus without cardiac or splenic abnormalities, who had partial duodenal obstruction secondary to a mucosal diaphragm. This seems to be the thirteenth case associated with duodenal obstruction and the sixth case secondary to a mucosal duodenal diaphragm, to date, in this setting.
内脏反位具有较高的死亡率，因为大多数病例（95%）伴有心脏和脾脏缺陷。对英文文献中报道的所有病例进行回顾还证实，存在明显的胃肠道病变，主要是环状胰腺、中肠扭转和十二指肠闭锁。我们报告了一例额外的内脏反位病例，该病例无心脏或脾脏异常，因黏膜隔膜导致十二指肠部分梗阻。这似乎是迄今为止在这种情况下与十二指肠梗阻相关的第13例病例，也是继发于十二指肠黏膜隔膜的第6例病例。
