Altay Taşkin
S.B. Tepecik Research and Training Hospital, Surgical Clinic.
Ulus Travma Acil Cerrahi Derg. 2005 Apr;11(2):162-4.
A case of mesenteric fibrosis secondary to post-traumatic mesenteric hematoma, resulting in duodenal stenosis eight years after the traumatic event is presented. A 50 year-old man was hospitalized with nausea and vomiting. An intraabdominal cystic mass was seen in abdominal ultrasonography and CT. Duodenum was found to be obstructed due to extrinsic compression in upper endoscopy. At laparotomy there was an intramesenteric traumatic cyst and fibrosis around the duodenum resulting in duodenal obstruction. After the cyst was unroofed a Roux-en-Y duodenojejunostomy was performed. Both early and late (after 4 months) follow-up results were excellent.
本文报告一例创伤后肠系膜血肿继发肠系膜纤维化，导致创伤事件八年后出现十二指肠狭窄的病例。一名50岁男性因恶心和呕吐入院。腹部超声和CT检查发现腹腔内有一个囊性肿块。上消化道内镜检查发现十二指肠因外部压迫而梗阻。剖腹手术时发现肠系膜内有一个创伤性囊肿，十二指肠周围有纤维化，导致十二指肠梗阻。囊肿去顶后行Roux-en-Y十二指肠空肠吻合术。早期和晚期（4个月后）随访结果均良好。
