Cauchi J A, Buick R G
Department of Paediatric Surgery, Birmingham Children's Hospital, Steelhouse Lane, B4 6NH Birmingham, UK.
Pediatr Surg Int. 2006 May;22(5):456-8. doi: 10.1007/s00383-005-1600-9. Epub 2006 Mar 22.
A 11-month-old boy presented with a 4-month history of failure to thrive. His initial presentation was highlighted by fever, postprandial abdominal pain and lethargy. The diagnosis was elusive despite extensive investigations. A contrast enhanced abdominal computerised tomogram (CT) suggested the presence of a pancreatic pseudocyst. At laparotomy, a lesser sac collection was drained and the patient's general condition improved. Three weeks postoperatively, the symptoms recurred and a second contrast enhanced abdominal CT revealed a duodenal duplication cyst. A 6.5-cm duodenal duplication cyst communicating with the fourth part of the duodenum was resected in its entirety with resolution of the patients' symptoms and establishment of adequate growth.
一名11个月大的男孩出现了4个月的发育不良病史。他最初的症状表现为发热、餐后腹痛和嗜睡。尽管进行了广泛的检查，但诊断仍不明确。腹部增强计算机断层扫描（CT）显示存在胰腺假性囊肿。在剖腹手术中，引流了小网膜囊积液，患者的一般状况有所改善。术后三周，症状复发，再次进行腹部增强CT检查发现一个十二指肠重复囊肿。一个与十二指肠第四部相通的6.5厘米十二指肠重复囊肿被完整切除，患者症状消失，生长发育恢复正常。
