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首页> 外文期刊>Journal of Pediatric Surgery Case Reports >Duodenal web presenting outside the neonatal period concurrently with malrotation and mid-gut volvulus
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Duodenal web presenting outside the neonatal period concurrently with malrotation and mid-gut volvulus

机译：十二指肠网出现在新生儿期之外，并伴有旋转不正和肠中肠扭转

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摘要

Fetal development of the intestinal tract involves multiple embryological events at the culmination of which the duodenojejunal junction is fixed in the left upper quadrant and cecum in the right lower quadrant. Developmental anomalies affecting the normal rotation of the fetal intestines occur as frequently as 1% of the population. Patients with malrotation are at risk for midgut volvulus, a surgical emergency with potential catastrophic outcomes with an incidence of 1:6000. Congenital duodenal atresia and stenosis is a frequent cause of intestinal obstruction in neonates and the incidence is estimated to be between 1:4000–15000 livebirths. Developmental failure of the recanalization of the fetal duodenum leads to an intrinsic web or atresia. Classically, malrotation with midgut volvulus is often diagnosed in a previously healthy term neonate with bilious emesis. While duodenal webs can have a similar presentation, the concurrence of both pathological entities leading to bowel obstruction is rarely reported. In this report we present a case of a 2 year old previously asymptomatic male child presenting with bilious emesis and found to have malrotation with volvulus and a concurrent duodenal web.
机译：肠道的胎儿发育涉及多个胚胎学事件，在这些事件的高潮期，十二指肠空肠结点固定在左上象限，盲肠在右下象限。影响胎儿肠道正常旋转的发育异常的发生频率高达总人口的1％。旋转不良的患者有肠中肠扭转风险，这是一种外科手术急症，潜在的灾难性后果，发生率为1：6000。先天性十二指肠闭锁和狭窄是新生儿肠梗阻的常见原因，其发生率估计在1：4000-15000之间。胎儿十二指肠再通的发育失败导致内在的网状或闭锁。典型地，通常在以前健康的足胆呕吐足月新生儿中诊断为中肠扭转性旋转不全。虽然十二指肠网可以有类似的表现，但很少报道导致肠梗阻的两种病理实体的并存。在本报告中，我们介绍了一例2岁以前无症状的男婴，其表现为胆汁性呕吐，并被发现有肠扭转和十二指肠网并发错位。

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