餐后肠系膜上动脉根部孤立性肠源性重复囊肿引起的腹痛：超声和磁共振成像特征。
Postprandial abdominal pain owing to isolated enteric duplication cyst in the superior mesenteric artery root: sonographic and magnetic resonance imaging features.
机构信息
Department of Radiology, College of Medicine, Chang Gung University, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Kaohsiung 333, Taiwan.
Department of Radiology, College of Medicine, Chang Gung University, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Kaohsiung 333, Taiwan.
出版信息
J Pediatr Surg. 2011 Apr;46(4):772-775. doi: 10.1016/j.jpedsurg.2010.12.014.
A 7-year-old girl presented to the emergency department with postprandial abdominal pain. An abdominal sonogram revealed a retroperitoneal septated cystic lesion. Magnetic resonance imaging showed a septated cystic lesion in the superior mesenteric artery (SMA) root with a vessel originating from the proximal SMA supplying the cyst wall and a deformed adjacent aortic contour. A laparotomy was performed and confirmed the presence of an isolated enteric duplication cyst with its own blood supply from the SMA and marked perilesional adhesions to the duodenal loop and aorta. Histopathologic study was consistent with a duplication. To our knowledge, this is the first report of isolated enteric duplication cyst in the superior mesenteric root with perilesional adhesion leading to postprandial abdominal pain, which was successfully relieved after surgery.
一位 7 岁女孩因餐后腹痛到急诊科就诊。腹部超声显示为腹膜后分隔囊性病变。磁共振成像显示肠系膜上动脉（SMA）根部有分隔囊性病变，有一支起源于近端 SMA 的血管供应囊肿壁，且邻近主动脉轮廓变形。行剖腹探查术，证实存在孤立性肠重复囊肿，其血供来自 SMA，且与十二指肠环和主动脉周围有明显粘连。组织病理学检查符合重复囊肿的表现。据我们所知，这是首例报道的孤立性肠系膜根部肠重复囊肿伴周围粘连导致餐后腹痛的病例，手术切除后腹痛得到缓解。
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