Division of Pediatric Surgery, Michael E DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX 77030, USA.
J Pediatr Surg. 2013 Jan;48(1):e47-9. doi: 10.1016/j.jpedsurg.2012.10.066.
Duodenum inversum is a rare congenital malformation defined by a duodenum which travels superiorly and then posteriorly prior to crossing the midline above the pancreas. It is often confused with other, more common, anomalies of intestinal rotation. We present a case of duodenum inversum diagnosed incidentally in a one-month old infant with Trisomy 21 during evaluation for reflux disease. Due to an inability to definitively rule out malrotation, the diagnosis was confirmed with a diagnostic laparoscopy. We discuss available literature concerning this rare anatomic anomaly as well as provide recommendations for diagnosis and treatment.
十二指肠反转是一种罕见的先天性畸形，其特征是十二指肠先向上走行，然后向后走行，在越过胰腺上方的中线之前。它常与其他更常见的肠旋转异常相混淆。我们报告了一例在一个月大的唐氏综合征婴儿中偶然诊断出的十二指肠反转病例，该婴儿因反流病接受评估。由于无法明确排除肠旋转不良，因此通过诊断性腹腔镜检查确诊。我们讨论了有关这种罕见解剖异常的现有文献，并提供了诊断和治疗建议。
