抄録
A case of diastatic perforation of the ileum in a three-day-old female infant was presented. She was born on May 4, 1972 and appeared normal at birth. She began vomiting at 6 hours of age. Abdominal distention and bilious vomiting had developed in the patient by 15 hours of age. The abdominal scout film made on admission to the Haramachi Red Cross Hospital, revealed distended loops of small bowel with air-fluid levels, and a small amount of free intraperitoneal air was already seen below the diaphragm (Fig. 1). Gastrografin enema showed a microcolon and the contour of the small bowel presumably floating on the peritoneal fluid, was visible (Fig. 2).
Laparotomy was performed 46 hours of age at the Gunma University Hospital. Surgery disclosed diaphragmatic obstruction of the distal ileum and a perforation of dilated ileum proximal to the atresia. Approximately 17 cm of the ileum including the atretic segment was resected and an end-to-end anastomosis was performed. Her postoperative course was uneventful and she was discharged on 17th postoperative day.
