- 期刊
消化道複裂畸形：三病例報告
Duplication of the Alimentary Tract: Report of Three Cases
摘要
本文敘述三例消化道複製畸形。第 1 例為 5個月大男嬰，因突發大量無痛性便血而住院。Tc-99m pertechnetate掃描檢查發現腹腔有長管狀及橢圓狀病灶。剖腹探查發現有一長約100cm的管狀複製與廻腸相隣而有共用肌肉層，且其末端有開口與規腸內腔相通。隣近腸系膜中，另有2個大小如兵乓球般的囊腫樣複製畸形。第 2 例為 2 天大男嬰，因出生一天後，一直有膽汁樣嘔吐而住院。服部 X 光：只見脹大的胃，其它腸氣稀少。剖腹探查發現在前段空腸腔內，有一長約1.5 cm的囊腫狀複製阻塞腸腔而使空腸前端膨大，複製與空腸間有共用肌肉層且其末端有開口與空腸相通。第3例為4歲4 個月大男孩，因近1年半來有間歇性非噴出性嘔吐而入院。超音波檢查發現腹部右上側有鈣化影像，胃鏡檢查看十二指腸第二部份處有屈折現象。剖腹檢查發現在胃結腸韌帶上有2個腫塊，一個為骨化的軟組織（胃一結腸韌帶），大小約1.5×1×0.8立方公分 ，另一個是囊腫樣的橫結腸複製，與下方的結腸系膜相接，大小約 4.5×3×2.5立方公分。三個病例的複製畸形皆內襯有異位性胃黏膜及小腸黏膜組織，僅第3例有潰瘍病灶。均予以手術切除，術後情況良好出院。
關鍵字
無資料並列摘要
Three cases of duplications of the alimentary tract are preserted. Case 1 was a 5-month-old male baby. He was admitted due to copiously painless rectal bleeding. Tc-99m pertechnetate scanning revealed unusual tubular and spherical lesions. Laparotomy findings were that a tubular ileal duplication m asured 100cm or so in length and communicated with ileal lumen by its distal orifice. Moreover, there were 2 spherical duplications like ping-pong ball in morphology located in neighboring mesentary. Case 2 was a 2-day-old male newborn. He was admitted because of persistent bilious vomiting on his second day of life. Plain film x-ray revealed dilated stomoch and scanty bowel gas. Laparotomy finding was that a cystic duplication measured 1.5cm in length which located in and obstructed the lumen of proximal jejunum. Also there was a distal orifice of duplication in communication with jejunal lumen. Case 3 was a 4-year-and-4-month-old boy who admitted after intermittently non-projectile vomiting for a period of 1(subscript) 2 year. Sonography showed a calcification lesion at right upper quadrant of abdomen. Panendoscopy saw a refraction at second part of duodenum. The findings of laparotomy were that 2 tumor masses laid upon gastrocolic ligament. One was ossified soft tissue (gastrocolic ligament) with 1.5x1x0.8cm^3 in size, and the other was cystic duplication of transverse colon in contact with beneath mcsocolon. All duplications of 3 cases were lined with ectopic gastric and small intestinal mucosa, and ulcerative lesion was found in case 3 only. All lesions were resected and removed with good results.