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一名52岁男性的十二指肠重复囊肿:具有挑战性的诊断与管理

Duodenal duplication cyst in a 52-year-old man: A challenging diagnosis and management.

作者信息

Al-Harake Ali, Bassal Ahmad, Ramadan Mohamad, Chour Mohomad

机构信息

Department of Surgery, Al Rassoul Al Aazam Hospital, Beirut, Lebanon.

出版信息

Int J Surg Case Rep. 2013;4(3):296-8. doi: 10.1016/j.ijscr.2013.01.004. Epub 2013 Jan 17.

DOI:10.1016/j.ijscr.2013.01.004
PMID:23396393
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3604677/
Abstract

INTRODUCTION

Duodenal duplication is a rare congenital malformation. Although more frequent in childhood, it may rarely be observed in adulthood. Pre-operative diagnosis can be difficult.

PRESENTATION OF CASE

We report the case of a 52-year-old man with a duodenal duplication cyst, who was misdiagnosed even after a primary surgery. Definitive treatment needed an extensive diagnostic workup and a second delicate operation.

DISCUSSION

This article discusses the incidence of duodenal duplications, their types, their clinical presentations, the radiologic and diagnostic features along with different therapeutic options.

CONCLUSION

Duodenal duplication should always be one of the differential diagnoses proposed when approaching upper abdominal cystic formations.

摘要

引言

十二指肠重复畸形是一种罕见的先天性畸形。虽然在儿童期较为常见,但在成人中也很少见。术前诊断可能困难。

病例介绍

我们报告一例52岁男性十二指肠重复囊肿病例,该患者即使在初次手术后仍被误诊。明确的治疗需要广泛的诊断检查和第二次精细手术。

讨论

本文讨论了十二指肠重复畸形的发病率、类型、临床表现、放射学和诊断特征以及不同的治疗选择。

结论

在处理上腹部囊性肿物时,十二指肠重复畸形应始终作为鉴别诊断之一。

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本文引用的文献

1
Duodenal duplication cyst: a potentially malignant disease.十二指肠重复囊肿:一种潜在的恶性疾病。
Ann Surg Oncol. 2012 Nov;19(12):3753-4. doi: 10.1245/s10434-012-2502-4. Epub 2012 Jul 26.
2
Meta-analysis: the clinical features of the duodenal duplication cyst.荟萃分析:十二指肠重复囊肿的临床特征。
J Pediatr Surg. 2010 Aug;45(8):1598-606. doi: 10.1016/j.jpedsurg.2010.01.010.
3
Endoscopic resection of gastrointestinal lesions: advancement in the application of endoscopic submucosal dissection.内镜下胃肠道病变切除术:内镜黏膜下剥离术的应用进展。
J Gastroenterol Hepatol. 2010 Aug;25(8):1348-57. doi: 10.1111/j.1440-1746.2010.06402.x.
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A new endoscopic treatment method for a symptomatic duodenal duplication cyst.
Endoscopy. 2009;41 Suppl 2:E32-3. doi: 10.1055/s-2008-1077337. Epub 2009 Mar 13.
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A rare case of duodenal duplication treated surgically.1例罕见的十二指肠重复畸形接受了手术治疗。
World J Gastroenterol. 2009 Feb 21;15(7):882-4. doi: 10.3748/wjg.15.882.
6
Duodenal duplication cyst: a rare cause of acute pancreatitis in children.十二指肠重复囊肿:儿童急性胰腺炎的罕见病因。
J Clin Ultrasound. 2008 Nov-Dec;36(9):584-6. doi: 10.1002/jcu.20475.
7
A case series of symptomatic intraluminal duodenal duplication cysts: presentation, endoscopic therapy, and long-term outcome (with video).一系列有症状的十二指肠腔内重复囊肿病例:临床表现、内镜治疗及长期预后(附视频)
Gastrointest Endosc. 2008 Jan;67(1):163-8. doi: 10.1016/j.gie.2007.08.006.
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Imaging features of gastrointestinal tract duplications in infants and children: from oesophagus to rectum.婴幼儿胃肠道重复畸形的影像学特征:从食管到直肠
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Eur J Pediatr Surg. 2006 Feb;16(1):18-23. doi: 10.1055/s-2006-923798.
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Pediatrics. 1952 Apr;9(4):448-68.