Congenital malrotation of diagnostic experience.doc

 PAGE \* MERGEFORMAT 8 Congenital malrotation of diagnostic experience [Abstract] Objective To investigate the clinical and congenital intestinal malrotation X ray. Methods 20 cases of surgically confirmed cases of congenital intestinal malrotation results of X-ray examination and clinical characteristics of the literatures were reviewed. The results are upright abdominal radiograph shows expansion of the stomach bubble, 4 cases of small intestinal gas, the typical “double bubble” in 8 cases, 7 cases of gastric bubble expansion, the expansion of abdominal bloating associated with large intestinal fluid level 1 case showed expansion of the stomach bubble flatulence, intestinal gas distribution in the left and right abdomen. angiography: 18 patients with upper digestive tract imaging done, 12 patients showed expansion of the proximal duodenum, duodenum and upper jejunum in the abdomen on the right side, delayed emptying of contrast agent, contrast agent down less 3 cases showed expansion of the proximal duodenum, the remote was a typical “braided” .3 patients showed expansion of the proximal duodenum, and no abnormal position, changes in position, the contrast agent Ten patients showed large amounts down .3 complete obstruction of proximal duodenum, reflux contrast agent, no contrast agent down. dilute barium enema in 8 cases, showed the Ministry of the ascending colon and cecum in the right back in the upper abdomen, in the small intestine in the right lower abdomen in 6 cases, 2 cases showed frame normal colon, appendix position slightly above the level of the iliac crest. Conclusion recurrent vomiting after birth, accompanied by bile should undergo X-ray examination, abdominal gastrointestinal contrast with the upright pieces help the clinical early diagnosis and treatment. [Keywords:] congenital intestinal malrotation, X-ray examination Congenital malrotation during fetal development is abnormal intestinal rotation, position of mutation and the intes