Yeungnam Univ J Med.  1987 Aug;4(1):33-42. 10.12701/yujm.1987.4.1.33.

Radiologic Analysis of Congenital Origin Intestinal Obstruction in Neonate and Childhood

• Hwang MS
• Byun WM
• Kim SY
• Chang JC

• KMID: 2373913
• DOI: http://doi.org/10.12701/yujm.1987.4.1.33

Abstract

Congenital origin intestinal obstruction are important disease due to required emergency operation. So accurate and rapid diagnosis needed for decreased mortality and morbidity. Radiologic must defect to accurate obstruction site and also associated other congenital anomalies. And also embryological basis are very important role to the diagnosis of these diseases. We were analyzed radiologically and clinically 25 cases with congenital origin intestinal obstruction with review of literature. 1. Hypertrophic pyloric stenosis 6 cases, midgut malrotation 4 cases, congenital megacolon 8 cases, imperforated anus 5 cases, ileal atresia 1 case and duodenal atresia 1 case. 2. Male and female radio was 16:9. Especially on hypertrophic pyloric stenosis, 5 cases were male infants. 3. All cases of hypertrophic pyloric stenosis represented string sign and also pyloric beak sign, shoulder sign on UGI. 4. 1 case duodenal atresia showed double bubble sign on simple abdomen x-ray and ileal atresia showed mechanical small bowel obstruction sign with microcolon. 5. On midgut malrotaton, cecum was located in right upper abdomen on 4 cases. And 2 cases were associated with Ladd's band, 1 case with volvulus and 1 case with mesenteric defect. 6. Involved site of all congenital megacolon were localized to rectosigmoid colon. 7. On 5 cases imperforated anus, 3 cases were low type and 2 case high type. Rectoperitoneal and rectourogenital fistula were demonstrated on 4 cases.

MeSH Terms

Abdomen
Anal Canal
Animals
Beak
Cecum
Colon
Diagnosis
Emergencies
Female
Fistula
Hirschsprung Disease
Humans
Infant
Infant, Newborn*
Intestinal Obstruction*
Intestinal Volvulus
Male
Mortality
Pyloric Stenosis, Hypertrophic
Shoulder