Segmental Dilatation of Intestine : 自験例6例について

概要

論文の詳細を見る
Twenty three cases of segmental dilatation of the intestine and colon have been reported in world literatures. This abnormality is often apt to be pre-operatively confused with Hirschsprung's disease and mechanical intestinal obstruction. During past 18 years, six cases of segmental dilatation of the intestine or colon have been treated at the National Children's Hospital. Sites of the segmentally dilated gut were the jejunum (1), ileum (3) and colon (2). Three were male and 3 female. Symptom of intestinal obstruction was not observed in all but one until at several months of age when vomiting and abdominal distension occured. Associated congenital anomalies were malrotatior of the intestine (2), Meckel's diverticulum (2), chromosomal disorder (1), congenital heart disease (1), meningomyelocele (1), aberrant gastric mucosa (1) and Hirschsprung's disease (1). Although microscopical abnormality of the intramural ganglion cells was not found in the dilated segment in any of these cases, we assume that some of congenital factors are involved in the etiology of segmental dilatation of the intestine. Regardless the etiology, resection of the dilated intestine employing an end-to-end anastomosis has always resulted in an excellent recovery and is thought to be a treatment of choice.
日本小児外科学会の論文
1983-10-20