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KMID : 0367419690120040043
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Journal of Korean Pediatric Society
1969 Volume.12 No. 4 p.43 ~ p.46
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A Case Report of Incomplete Duodenal Obstruction due to Malrotation of Intestine
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李鍾赫/Lee, Jong Hyuk
李容吉/李席一/李尙柱/李華永/Lee, Yong Kil/Lee, Yong Il/Lee, Sang Jhoo/Lee, Wha Yung
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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 comtrolled 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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