新生児腸重積症により小腸閉鎖症をきたした1手術例

概要

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A full-term female was transferred to the neonatal intensive care unit at one day of age because of respiratory distress syndrome. The infant had passed normal meconium whle abdominal distension and bilious vomiting had been. At 3 days of age the infant began passing bloody stool. An abdominal X-ray film showed free air in the abdominal cavity. However, further sings of neither necrotizing enterocolitis nor panperitonitis developed. The gastrografin enema examination revealed no lesions in the colon. At 13 days of age, operation was performed. Jejunal atresia with perforation at the oral side was found. It was suggestive that the atresia had been caused from jejunal intussusception after birth. The postoperative course was uneventfull. Intussusception is rare in neonates. It is also well-recognized that some types of intestinal atresia take place following intrauterine intussusception. We investigated the relationship between neonatal intussusception and intestinal atresia, and reviewed 51 cases of neonatal intussusception in recent literatures. This case demonstrated clearly the fact that intussusception could be one of the cause of intestinal atresia, for only 10 days even if in neonate.
特定非営利活動法人日本小児外科学会の論文
1992-02-20