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首页> 外文期刊>Journal of Surgical Case Reports >Duodenal web associated with malrotation and review of literature
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Duodenal web associated with malrotation and review of literature

机译：与十二指肠旋转不良相关的十二指肠网和文献复习

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摘要

Intestinal obstruction due to midgut malrotation in neonates is well known. The incidence of malrotation in newborns is around 1:500 and the symptomatic incidence is 1:6000 births. Duodenal web as a cause of intestinal obstruction is less common and is reported to be 1:10 000–1:40 000. Malrotation is known to be associated with other congenital obstructive anomalies including duodenal atresia, stenosis and duodenal web. But, intestinal obstruction due to malrotation associated with duodenal web has been reported only rarely with a few published cases in our literature review. We present a case of intestinal obstruction diagnosed in the prenatal period via sonogram. A plain X-ray of the abdomen after birth showed a distended duodenum with paucity of air distally suggesting duodenal obstruction. An exploratory laparotomy showed a duodenal web proximal to the sphincter of oddi. The patient also had an associated malrotation and underwent Ladd's procedure and appendectomy. The post-operative period was uneventful.
机译：新生儿由于中肠旋转不良引起的肠梗阻是众所周知的。新生儿的畸形发生率约为1：500，有症状的发生率为1：6000。十二指肠网是引起肠梗阻的原因，并不常见，据报道为1:10 000–1：40000。畸形与其他先天性肠梗阻异常有关，包括十二指肠闭锁，狭窄和十二指肠网。但是，在我们的文献综述中，只有极少数报道了因十二指肠网相关的旋转不良引起的肠梗阻。我们介绍了一例在产前经超声检查诊断为肠梗阻的病例。出生后腹部X线平片显示十二指肠扩张，远端空气不足，提示十二指肠阻塞。探查性剖腹术显示在十二指肠近端括约肌的十二指肠网。该患者还伴有旋转不良，并接受了Ladd手术和阑尾切除术。术后期间平稳。

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