先天性肠旋转不良是新生儿时期常见的外科疾病之一,延误诊断有时会造成中肠扭转致肠坏死的致命后果。但盲肠位置正常的先天性肠旋转不良是比较少见的,笔者最近遇到3例,现报道如下。 例1. 男,12岁,上腹痛20余天,钝痛,无规律性,不伴呕吐、腹泻。体检无阳性发现。胃肠钡餐(GI)检查十二指肠空肠连接在腰_1椎体左缘,较正常位置明显低,且向内移位,空肠近段向右横过脊柱(图1A)。空肠基本位于右上腹,示十二指肠空肠(dj)段旋转不良。盲肠在右下腹(图1B)。 Congenital intestinal dysplasia is one of the most common surgical diseases in the neonatal period. Delayed diagnosis sometimes results in the lethal consequences of torsion of intestine to cause intestinal necrosis. However, the location of normal cecum congenital intestinal dysplasia is relatively rare, I recently encountered 3 cases, are reported below. Example 1. Male, 12 years old, upper abdominal pain more than 20 days, dull pain, irregular, without vomiting, diarrhea. No positive physical examination found. Gastrointestinal barium meal (GI) examination The duodenum jejunum was ligated to the left margin of the lumbar vertebra, significantly lower than normal and displaced inwardly, with the proximal jejunum transverse to the spine (Figure 1A). Jejunum is basically located in the right upper quadrant, showing duodenum jejunum (dj) segment poor rotation. The cecum is in the right lower quadrant (Figure 1B).