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一名2岁幼儿因呕吐和拒食导致发育不良:先天性十二指肠蹼的一种罕见且晚期表现。

Vomiting and food refusal causing failure to thrive in a 2 year old: an unusual and late manifestation of congenital duodenal web.

作者信息

Sarkar Shruti, Apte Ashwin, Sarkar Nupur, Sarkar Dipankar, Longia Sheela

机构信息

Department of Pediatrics, Peoples College of Medical Science & Research Center, Bhopal, India.

出版信息

BMJ Case Rep. 2011 Apr 1;2011:bcr0120113779. doi: 10.1136/bcr.01.2011.3779.

DOI:10.1136/bcr.01.2011.3779
PMID:22700606
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3079475/
Abstract

Congenital duodenal anomalies like atresia, stenosis and web or diaphragm commonly present in the neonatal age with signs of intestinal obstruction. Duodenal webs can sometimes present in early infancy and very rarely beyond infancy. The authors present a case of congenital duodenal web with a very small central aperture in a 2-year-old child with presenting features of persistent vomiting and resultant failure to thrive without any overt signs of intestinal obstruction.

摘要

先天性十二指肠异常,如闭锁、狭窄以及蹼或隔膜,通常在新生儿期出现肠梗阻症状。十二指肠蹼有时可在婴儿早期出现,极少在婴儿期之后出现。作者报告了一例2岁儿童先天性十二指肠蹼的病例,其中心孔径非常小,表现为持续呕吐,进而生长发育不良,且无任何明显的肠梗阻迹象。

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本文引用的文献

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Situs inversus abdominalis and duodenal atresia: a case report and review of the literature.内脏反位与十二指肠闭锁:一例病例报告及文献综述
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Food refusal as an unusual presentation in a toddler with duodenal web.食物拒食作为十二指肠蹼幼儿的一种不寻常表现。
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Babies with esophageal and duodenal atresia: a 30-year review of a multifaceted problem.患有食管闭锁和十二指肠闭锁的婴儿:对一个多方面问题的30年回顾。
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Congenital duodenal anomalies in the adult.成人先天性十二指肠异常
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Adult duodenal web.成人十二指肠蹼
Australas Radiol. 1998 Nov;42(4):397-8.