Zamir G, Gross E, Shmushkevich A, Bar-Ziv J, Durst A L, Jurim O
Department of Surgery, Hadassah University Medical Center, Ein-Karem, Jerusalem, Israel.
J Pediatr Surg. 1999 Aug;34(8):1297-9. doi: 10.1016/s0022-3468(99)90176-8.
A rare case of duodenal duplication cyst containing stones in a 17-year-old patient is presented. The cyst, acting as a leading point for duodeno-jejunal intussusception caused proximal small bowel obstruction and hyperbilirubinemia. Preoperative diagnosis was based on abdominal computerized tomography. At operation, the cyst wall was unroofed creating free drainage into the duodenal lumen without damaging the biliary and pancreatic ducts with resolution of symptoms.
本文报告了一例17岁患者的罕见病例，其十二指肠重复囊肿内含有结石。该囊肿作为十二指肠空肠套叠的起始点，导致近端小肠梗阻和高胆红素血症。术前诊断基于腹部计算机断层扫描。手术时，囊肿壁被打开，使其向十二指肠腔内自由引流，同时未损伤胆管和胰管，症状得以缓解。
