Монголын Анагаахын Сэтгүүлүүдийн Холбоо (МАСХ)
Эх барих, эмэгтэйчүүд, хүүхэд судлалын сэтгүүл, 2011, 2(10)
Леддагийн хамшинжийн хэт авиан оношлогоо
( Судалгааны өгүүлэл )

Ч.Баттулга, Ц.Цогзолмаа

ЭХЭМҮТ

 
Абстракт

Congenital obstruction of the duodenum due to peritoneal bands (Ladd's bands) resulting from a malrotated cecum manifested by severe vomiting taking place shortly after birth or after the first feeding. Usually bilious, continuous vomiting indicates complete obstruction. There is distension of epigastrium and meconium may be excreted. Jaundice in 30 % of cases. Intermittent vomiting at variable times after birth (days, weeks, months, or years) indicates partial obstruction. Intestinal malrotation comprises a spectrum of rotational abnormalities that may lead to a variety of clinical symptoms in neonates, infants, and older children. Embryologically, intestinal nonrotation and incomplete rotation coincide with a narrow base of the mesentery. In neonates and young children, this may lead to midgut volvulus and duodenal obstruction (due to Ladd’s peritoneal bands or intrinsic duodenal obstruction), which can present acutely. In older children, intermittent volvulus and bowel obstruction can present with chronic abdominal symptoms. Early diagnosis of malrotation can prevent fatal midgut volvulus. Abnormal orientation of the superior mesenteric artery and vein on ultrasonography has been described in malrotation. In any case, the operative management consists of derotation, widening of the mesenteric base, and, where appropriate, division of Ladd’s bands.



Нийтлэлийн нээгдсэн тоо: 1
Судлаачдын бусад өгүүлэл
Зохиогчийн эрх хуулиар хамгаалагдсан. Дэлхийн Эрүүл Мэндийн Байгууллага, ©  2012.
Вебийг бүтээсэн Слайд ХХК