| A Case Repm't of Incomplete Duodenal Obstruction due to Malrotation of Intestine |
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Jong Hyuk Lee1, Yong Kil Lee1, Yong II Lee1, Sang Jhoo Lee1, Wha Yung Lee2 |
1Department of Pediatrics, Han-il Hospital, Seoul, Korea
2Department of Surgery, Han-il Hospital, Seoul, Korea |
| 不完全十二指腸閉基症을 招來한 中腸廻轉異常症 1 例 |
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李鍾赫1, 李容吉1, 李痛一1, 李尙柱1, 李 華 永2 |
1韓一病院 小兒科
2韓一病院 外科 |
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| Abstract |
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A 3 months old Korean male was admitted to dept, of Pediatrics, Han-il Hospital because of projectile vomiting and visualized peristaltic waves on July 28, 1968. Since 4 days after birth, bile-stained vomiting was occurred immediately after every feeding for 6 days in spite of sufficient evacuation of swallowed air and progressively aggravated. At this time, vomiting was com trolled by sedation 20 minutes before every feeding and then he had
been doing well for 2 months. But 3 months of his age, projectile vomiting and visualized peristalsis was developed again. Vomiting, occured 4 to 5 hours after every feeding and vomitus contained bile also. By barium enema and upper G-I series, we suspected this case as a mechanical, partial obstruction due to intestinal anomaly below ampulla of Vater. Exploratory laparotomy was performed after correction of fluid [and electrolyte imbalance, and found incomplete obstruction of duodenum due to malrotation of intestine. Correction fo malrotation was carried out by Ladd’s method and post-operative course was uneventfuL
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