一例具有苹果皮样外观的十二指肠闭锁病例：对当前胚胎学提出挑战

A case of duodenal atresia with apple peel appearance: challenging the current embryology.

作者信息

Pathak Manish, Narula Dipanshu

机构信息

Department of Pediatric Surgery, RNT Medical College, Udaipur, Rajasthan, India.

出版信息

J Clin Neonatol. 2014 Apr;3(2):112-4. doi: 10.4103/2249-4847.134709.

DOI:10.4103/2249-4847.134709

PMID:25024980

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4089124/

Abstract

Classically, embryology of duodenal atresia has been linked to defect in recanalization process, while apple-peal atresia of small bowel has been considered as due to vascular accident during embryonic life. We present a 33 week preterm neonate with duodenal atresia with the apple-peal appearance of proximal jejunum for which resection of the jejunum with apple-peal configuration, plication of the duodenum, and duodono-jejunal anastomosis was done. Thus, this rare case of ours questions the embryology of duodenal atresia with the apple-peal appearance suggesting it to be due to a vascular disruption phenomenon during embryonic life.

摘要

传统上，十二指肠闭锁的胚胎学与再通过程中的缺陷有关，而小肠的苹果皮样闭锁被认为是胚胎期血管意外所致。我们报告一例33周早产新生儿，患有十二指肠闭锁，近端空肠呈苹果皮样外观，为此进行了苹果皮样结构空肠切除术、十二指肠折叠术和十二指肠空肠吻合术。因此，我们的这例罕见病例对十二指肠闭锁伴苹果皮样外观的胚胎学提出了质疑，提示其可能是胚胎期血管破坏现象所致。