All issues > Volume 12(4); 1969

Case Report

J Korean Pediatr Soc. 1969;12(4):217-220. Published online April 30, 1969.

A Case Repm't of Incomplete Duodenal Obstruction due to Malrotation of Intestine

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

Abstract

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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