Neonatal Small Left Colon Syndrome の1治験例

概要

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A case of neonatal small left colon syndrome was reported. A 2 days old female neonate was admitted with abdominal distension and bile-stained vomiting. Barium enema showed a small left colon. Differential diagnosis included long segment aganglionosis, meconium plug syndrome and neonatal small left colon syndrome. Ano-rectal manometoly showed normal reflex. In rectal suction biopsy, the bowel showed normal ganglion cells by H-E staining but showed immaturity ganglion cells by acetylcholinesterase staining, Concervative therapy was performed. Although no defecation of the meconium plug was observed, abdominal distension and vomiting subsided and thereafter she had normal bowel movements. The final diagnosis was neonatal small left colon syndrom, and a small left colon has been observed for a year. We reported a first survived case of neonatal small left colon syndrome in Japan and we suggest a immatrity ganglion cells for the etiology of the neonatal small left colon syndrome.
日本小児外科学会の論文
1983-06-20