中腸不完全旋轉症合併中腸扭結－病例報告

Incomplete Rotation of the Midgut and Midgut Volvulus-Report of a Case

葉明憲(Min-Hsien Yeh) ； 黃二榮(Erh-Jung Huang) ； 周定遠(Ting-Yuan Chou) ； 羅家森(Jia-Sen Luo) ； 黃若屈(Ruoh-Chiu Hwang) ； 朱夢麟(Mon-Lin Chu)

《Journal of Medical Sciences》 11卷4期 (1991/08) Pp. 325-330

摘要

新生兒中腸不完全旋轉症合併中腸扭結需要外科緊急治療，延遲治療可能造成腸壞疽。主要症狀為正常餵食後的膽汁嘔吐，腹部X光檢查為非專一性腸阻塞的發現，大腸鋇劑灌腸攝影檢查不能完全排除新生兒中腸不完全旋轉症，上腸胃道稀釋鋇劑灌食攝影有特殊的放射線學發現，這可提供有關腸阻塞位置，原因等的直接訊息，本文報告一例經臨床與放射線學診斷及手術證實為中腸不完全旋轉症合併中腸扭結病例，並對新生兒中腸旋轉異常形成的胚胎發育過程，周產期診斷，臨床症狀，放射線學診斷，與外科手術治療作一詳盡描述。

關鍵字

中腸不完全旋轉症 ； 中腸扭結

並列摘要

Incomplete rotation of the midgut complicating volvulus is an important surgical emergency in neonate. Successful outcome of this clinical condition depends on prompt diagnostic studies of intestinal obstruction and timely surgical treatment. Delay in diagnosis can lead to vascular compromise due to volvulus. It presents with duodenal obstruction and bile emesis after normal flatus and feedings. Abdominal radiography may be nonspecific findings. Contrast enema is an indirect method for possible diagnosis. UGI series is a diagnostic method for incomplete rotation of the midgut complicated by volvulus. In this article we present a case of incomplete rotated small intestine and colon which were appreciated in contrast radiologic findings and confirmed in surgical intervention, we also describe the embryologic development associated with clinical features, management, and the evaluation of advantages in diagnostic radiographic studies of neonatal rotation anomalies.

並列關鍵字

Incomplete rotation of the midgut ； Midgut volvulus