Tamvakopoulos George S, Sams Virginia, Preston Peter, Stebbings William S L
Department of Surgery, Norfolk & Norwich University Hospital NHS Trust, Norwich, UK.
Ann R Coll Surg Engl. 2004 Nov;86(6):W49-51. doi: 10.1308/147870804119.
Enterogenous duplication cysts are rare, but recognised, developmental anomalies. Duplications in the midgut are the commonest of these rare anomalies with a high proportion of them being found in the jejunum. Enterolith formation within these duplication cysts is uncommon as is heterotopic mucosa giving rise to peptic ulceration. Mode of presentation depends on whether symptoms due to mass effect or gastrointestinal bleeding predominate. We present a case of iron-deficiency anaemia caused by an enterolith-filled jejunal duplication cyst diagnosed at laparotomy and treated by surgical excision and small bowel resection.
肠源性重复囊肿罕见，但却是公认的发育异常。中肠重复是这些罕见异常中最常见的，其中很大一部分位于空肠。这些重复囊肿内形成肠石并不常见，异位黏膜导致消化性溃疡也不常见。临床表现取决于肿块效应引起的症状还是胃肠道出血占主导。我们报告一例因充满肠石的空肠重复囊肿导致缺铁性贫血的病例，该病例在剖腹手术中确诊，并通过手术切除和小肠切除术进行治疗。
