ladd综合征合并先天性肥厚性幽门狭窄

V. V. Navasad, V. I. Kavalchuk, E. A. Navasad
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引用次数: 2

摘要

背景。1932年,w.e.l add详细描述了这两种先天性病理情况的结合,即腹膜的胚胎索压迫十二指肠,以及小肠和结肠右半部分因肠道旋转不完全而内翻,因此这种病理被称为“Ladd综合征”(LS)。先天性幽门狭窄属于一组严重的先天缺陷。这种疾病是基于先天性的幽门括约肌形态结构的破坏,这是由于环形肌层和间质组织的肥大导致幽门狭窄和胃肠道这部分的通畅受损。目标。一个罕见病例的诊断和治疗特点的综合病理在新生儿胃肠道的示范。材料和方法。患者M.,出生3天,自2018年12月至2019年3月在格罗德诺地区儿童临床医院(GODKB)新生儿科接受治疗。结果。孩子被发现有Ladd综合征合并先天性肥厚性幽门狭窄。成功地矫正了出生缺陷。结论。我们提出了一个尚未在文献中描述的病例报告。尽管诊断困难,但患者出院后恢复了健康。2020年的随访检查显示,孩子的发育没有异常。
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THE COMBINATION OF LADD’S SYNDROME WITH CONGENITAL HYPERTROPHIC PYLORIC STENOSIS
Background. The combination of the two congenital pathological conditions – compression of the duodenum by embryonic cords of the peritoneum and congenital inversion of the small intestine and right half of the colon due to incomplete bowel rotation – was described in detail by W. E. Ladd in 1932, thus the pathology is known as “Ladd’s syndrome” (LS). Congenital pyloric stenosis belongs to a group of severe birth defects. The disease is based on a congenital violation of the morphological structures of the pyloric sphincter of the stomach due to hypertrophy of the circular muscle layer and interstitial tissue leading to pyloric stenosis and impaired patency in this part of the gastrointestinal tract. Objective. Demonstration of diagnostics and treatment peculiarities of a rare case of a combined pathology of the gastrointestinal tract in a newborn. Material and methods. The data from clinical observation of the patient M., 3 days old, who was treated in the neonatal Department of the Grodno regional children’s clinical hospital (GODKB) since December 2018 till March 2019. Results. The child was found to have a combination of Ladd’s syndrome with congenital hypertrophic pyloric stenosis. Successful correction of the birth defects was performed. Conclusion. We have presented a case report that hasn’t been yet described in literature. Despite the diffculties in diagnostics, the patient was discharged with recovery. The follow-up examination in 2020 revealed no abnormalities in the child’s development.
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