Leite Ana Kober Nogueira, David André Ibrahim, Szutan Luiz Arnaldo
Departamento de Cirurgia da Faculdade de Ciências Médicas da Santa Casa de São Paulo, Brasil.
Acta Gastroenterol Latinoam. 2009 Jun;39(2):125-8.
Alimentary tract duplications are very rare, especially among adults, and only in 4-12% of the cases the duodenum is the site of origin. The main symptoms are usually epigastric pain, weight loss and vomiting. We report a case of a duodenal duplication cyst filled with enteroliths in a 23-year-old female patient presenting these symptons. The computed tomography showed a mesenteric cyst and the patient underwent a surgical procedure during which the diagnosis of duplication cyst with enteroliths was made and the cyst was excised with success. The diagnosis before surgery in these cases is extremely difficult especially if one considers how rare they are. The most helpful exam is the computed to- mography and the treatment is mainly surgical, although there are recent case reports showing the possibility of endoscopic resection (still being discussed). The presence of enteroliths can be explained by stasis and food alkalinity inside the cyst.
消化道重复畸形非常罕见，尤其是在成年人中，仅4%-12%的病例起源于十二指肠。主要症状通常为上腹部疼痛、体重减轻和呕吐。我们报告一例23岁女性患者，其十二指肠重复囊肿内充满肠石，并出现上述症状。计算机断层扫描显示为肠系膜囊肿，患者接受了手术，术中诊断为伴有肠石的重复囊肿，并成功切除囊肿。在这些病例中，术前诊断极其困难，尤其是考虑到它们非常罕见。最有用的检查是计算机断层扫描，治疗主要是手术治疗，尽管最近有病例报告显示内镜切除的可能性（仍在讨论中）。囊肿内出现肠石可由囊肿内的淤滞和食物碱性来解释。
