左心症に合併し, 重複胆管開口を有した先天性十二指腸膜様閉鎖の1例

概要

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A four-day old girl was transfered to Sendai Red Cross Hospital with abdominal dis-tension and non-bilious vomiting. Roentgenologic examination revealed one gas shadow on the right epigastral region and no other intraabdominal gas shadows. Putting air into the stomach via nasogastric tube identified double bubble gas and situs in versus. The operative findings disclosed membranous duodenal atresia with double biliary openings above and below the membrane. A right-sided spleen, a median gallbladder, symmetrical liver were seen, simultaneously recognized reversed rotation of the intestine. Excision of membrane was done, and postoperative course was uneventful. Cyanosis, heart murmur, abnormal cardiac shadow and changes of ECG were not recognized.
日本小児外科学会の論文
1984-02-20