一例罕见的脐膨出伴回肠管重复和卵黄瘘(附1例报告)

V. V. Navasad, V. I. Kavalchuk, K. A. Navasad
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引用次数: 0

摘要

背景。脐带疝(脐膨出)是一种先天性异常,其中许多腹部器官位于腹膜外-在脐膜上,包括羊膜,华顿氏胶和初级未分化腹膜。消化道加倍是一组罕见的畸形,在外观、位置、大小和临床表现上都有很大的不同。这种病理的发生率为每4500例尸检中有一例。第一例肠道复制是由考尔德于1733年报告的。目标。目的探讨一例罕见的新生儿脐膨出伴回肠小管复制和卵黄瘘的诊断和治疗。材料和方法。2天大的患者L.于2021年12月在格罗德诺地区儿童临床医院新生儿科接受治疗的临床病例报告。结果。发现患儿有脐膨出伴回肠管状复制和卵黄瘘管。在术前准备后,患者接受了手术:腹部重建干预以纠正先天性畸形。治疗使他完全康复。结论。我们提出了一个尚未在文献中发表的病例报告。尽管异常情况复杂,但患者完全康复出院。在2022年的随访检查中,没有发现孩子的发育有任何偏差。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A RARE CASE OF OMPHALOCELE WITH TUBULAR ILEAL DUPLICATION AND VITELLINE FISTULA (CASE REPORT)
Background. A hernia of the umbilical cord (omphalocele) is a congenital abnormality in which a number of the abdominal organs are located extraperitoneally - in the umbilical membranes, consisting of the amnion, Wharton's jelly and the primary undifferentiated peritoneum. Digestive tract doublings constitute a group of rare malformations that vary significantly in appearance, location, size, and clinical manifestations. The incidence of this pathology is one case per 4500 autopsies. The first case of an intestinal duplication was reported by Calder in 1733. Objective. To demonstrate diagnosis and treatment of a rare case of omphalocele with tubular ileal duplication and vitelline fistula in a newborn. Material and methods. A clinical case report of 2-day-old patient L. who underwent treatment in the neonatal department of the Grodno Regional Children's Clinical Hospital in December 2021. Results. The child was found to have omphalocele with tubular ileal duplication and vitelline fistula. After preoperative preparation, the patient underwent an operation: abdominal reconstructive intervention to correct a congenital malformation. The treatment resulted in a complete recovery. Conclusions. We presented a case report not yet published in literature. Despite the complexity of the anomaly, the patient was discharged having fully recovered. The follow-up examination in 2022, detected no deviations in the child’s development.
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