穿孔性回肠重复囊肿：诊断难题。

Perforated ileal duplication cyst: a diagnostic dilemma.

作者信息

Rathi Prem Kumar, Memon Abdul Sattar, Khatri Mohan

机构信息

Department of Surgery, Liaquat University of Medical and Health Sciences, Jamshoro, Sindh, Pakistan.

出版信息

J Coll Physicians Surg Pak. 2009 Oct;19(10):665-7. doi: 10.2009/JCPSP.665667.

DOI:10.2009/JCPSP.665667

PMID:19811723

Abstract

Alimentary tract duplications are rare congenital anomalies. We report a case of a 14-year-old boy, who presented with acute abdomen, with features favouring acute appendicitis. Laparotomy revealed perforated ileal duplication cyst. Resection of ileum along with cyst and anastomosis was undertaken, and proximal ileostomy performed. Postoperative recovery was uneventful and ileostomy was reversed successfully. Histopathology revealed the presence of gastric mucosa at the site of perforation.

摘要

消化道重复畸形是罕见的先天性异常。我们报告一例14岁男孩，他因急腹症就诊，症状提示急性阑尾炎。剖腹探查发现回肠重复囊肿穿孔。进行了回肠连同囊肿的切除及吻合术，并做了近端回肠造口术。术后恢复顺利，回肠造口术成功回纳。组织病理学检查显示穿孔部位存在胃黏膜。