中腸軸捻転,空腸穿孔を伴った腸管逆回転症の1例

概要

論文の詳細を見る
Reversed rotation of the midgut is extremely rare among anomalies of intestinal rotation. A 22-day-old premature boy presenting with abdominal distention, vomiting, and melena was emergently admitted to this hospital. A diagnosis of the perforation of gastrointestinal tract was made by the finding of abdominal plain film. Emergency laparotomy revealed the liver and entire colon ipsilateral type according to the Estrada' classification of reversed rotation, combined with a midgut volvulus of 810 degrees in a counterclockwise fashion and a perforation of the upper jejunum. A volvulus of the midgut was untwisted, and Ladd's operation with additional appendectomy were performed. Then partial resection of the jejunum followed by an end to end anastomosis was performed. Postoperatively, Douglas' abscess and subsequently sepsis developed. He died of sepsis and the bleeding of trachea on the 46th postoperative day.
日本小児外科学会の論文
1987-08-20