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.
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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