Prada-Arias Marcos, Sanchís-Solera L, Pérez-Candela V, Wiehoff-Neumann A, Alonso-Jiménez L, Beltrá-Picó R
Pediatric Surgery Service, University Hospital Insular-Materno Infantil, Las Palmas de Gran Canaria, 35016 Las Palmas, Spain.
J Pediatr Surg. 2007 Nov;42(11):1938-41. doi: 10.1016/j.jpedsurg.2007.08.004.
Paraduodenal hernias rarely present with symptoms in children. We report a case of a right paraduodenal hernia associated with enteric duplication cyst that caused intestinal suboclussion in a 9-month-old female infant. Paraduodenal hernia was detected by contrast-enhanced computed tomography. In a review of the English-published literature, we have not found other reports of the association of paraduodenal hernia and enteric duplication cyst. A high index of suspicion is required for detecting paraduodenal hernias in children, and abdominal computed tomography is the most specific imaging study for their preoperative diagnosis.
十二指肠旁疝在儿童中很少出现症状。我们报告一例9个月大女婴的右十二指肠旁疝合并肠重复囊肿,导致肠梗阻。通过增强计算机断层扫描检测到十二指肠旁疝。在回顾英文发表的文献时,我们未发现其他关于十二指肠旁疝与肠重复囊肿关联的报道。对于儿童十二指肠旁疝的检测需要高度怀疑,腹部计算机断层扫描是其术前诊断最具特异性的影像学检查。