新生児腸重積症 : 穿孔を伴った未熟児症例の報告と文献集計

概要

論文の詳細を見る
A case of intussusceptions in two lesions in a premature infant is described. A male infant was born prematurely with birth weight of 1,090g. He presented with an episode of sepsis and abdominal distension on day 2. Laparotomy on day 6 disclosed intussusceptions in jejunum and ileum and a perforation of the jejunum just oral to the jejunal intussusception. The ileal intussusception was resected and anastomosed, and the jejunal intussusception was resected and the both ends were exteriorized. The postoperative course was complicated with bronchopulmonary dysplasia (BPD) which made ventilatory support imperative. The jejunostomy was closed when he was 3-month-old, and he got weight with oral feeding afterwards. However, he died of progressive BPD and pneumonia on the 196th day after birth. From the world and Japanese literature, forty five cases of neonatal intussusception were collected. Of these, 29 cases were ileo-colic type and 14 cases of them were associated with intestinal duplications. Intussuseption of small intestine was found in 15 cases, three of them were very low birth weight infants and two cases were associated with intestinal atresia. Close relationship between neonatal intussusception and intestinal atresia caused by intrauterine intussusception was considered.
日本小児外科学会の論文
1985-10-20