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先天性十二指肠梗阻:病因及影像学检查方法

Congenital duodenal obstruction: causes and imaging approach.

作者信息

Brinkley Michael F, Tracy Elisabeth T, Maxfield Charles M

机构信息

Department of Radiology, Duke University Medical Center, DUMC Box 3808, Durham, NC, 27710, USA.

Division of Pediatric Surgery, Duke University Medical Center, Durham, NC, USA.

出版信息

Pediatr Radiol. 2016 Jul;46(8):1084-95. doi: 10.1007/s00247-016-3603-1. Epub 2016 Jun 20.

DOI:10.1007/s00247-016-3603-1
PMID:27324508
Abstract

Bilious emesis is a common cause for evaluation in pediatric radiology departments. There are several causes of congenital duodenal obstruction, most of which require elective surgical correction, but the potential of malrotation with midgut volvulus demands prompt imaging evaluation. We review the various causes of congenital duodenal obstruction with an emphasis on the approach to imaging evaluation and diagnosis.

摘要

胆汁性呕吐是儿科放射科进行评估的常见原因。先天性十二指肠梗阻有多种病因,其中大多数需要择期手术矫正,但合并中肠扭转的旋转不良的可能性需要及时进行影像学评估。我们回顾先天性十二指肠梗阻的各种病因,重点是影像学评估和诊断方法。

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Congenital duodenal obstruction: causes and imaging approach.先天性十二指肠梗阻:病因及影像学检查方法
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An unusual cause of duodenal obstruction in adults.成人十二指肠梗阻的一种罕见病因。
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Ileocolic intussusception mimicking the imaging appearance of midgut volvulus as a result of extrinsic duodenal obstruction.由于外在性十二指肠梗阻,回结肠套叠模拟中肠扭转的影像学表现。
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Post-Surgical Abnormalities of the Duodenum Leading to Pancreaticobiliary Disease in Children.儿童十二指肠术后异常导致胰胆疾病
JPGN Rep. 2020 Dec 9;2(1):e036. doi: 10.1097/PG9.0000000000000036. eCollection 2021 Feb.
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Paraduodenal Hernia: A Rare Cause of Small Bowel Obstruction.十二指肠旁疝:小肠梗阻的罕见病因。

本文引用的文献

1
Duodenal webs: an experience with 18 patients.十二指肠蹼:18例患者的经验
J Neonatal Surg. 2012 Apr 1;1(2):20. eCollection 2012 Apr-Jun.
2
Congenital duodenal obstruction with preduodenal portal vein and situs inversus totalis: report of two cases and literature review.先天性十二指肠梗阻合并十二指肠前门静脉及全内脏反位:两例报告及文献复习
Indian J Surg. 2013 Jun;75(Suppl 1):74-6. doi: 10.1007/s12262-011-0347-x. Epub 2011 Oct 19.
3
Preduodenal portal vein: a 3-case series demonstrating varied presentations in infants.十二指肠前门静脉:一项包含3例病例的系列研究,展示了婴儿的不同表现。
JPGN Rep. 2022 Jan 14;3(1):e170. doi: 10.1097/PG9.0000000000000170. eCollection 2022 Feb.
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A rare variation of duplicated portal vein: left branch derived from splenic vein mimicking cavernous transformation.门静脉左支发自脾静脉的罕见变异:酷似海绵样变的副支。
BMC Gastroenterol. 2021 Oct 26;21(1):404. doi: 10.1186/s12876-021-01970-8.
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Duodenal Stenosis: A Diagnostic Challenge in a Neonate With Poor Weight Gain.十二指肠狭窄:体重增长不佳新生儿的诊断难题
Cureus. 2020 Jun 11;12(6):e8559. doi: 10.7759/cureus.8559.
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The role of sonography in differentiating congenital intrinsic duodenal anomalies from midgut malrotation: emphasizing the new signs of duodenal and gastric wall thickening and hyperechogenicity.超声在先天性肠内固有异常与中肠旋转不良鉴别诊断中的作用:强调十二指肠和胃壁增厚及高回声的新征象。
Pediatr Radiol. 2020 May;50(5):673-683. doi: 10.1007/s00247-020-04616-1. Epub 2020 Jan 23.
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Proximal duodenal obstruction associated with compression from a replaced right hepatic artery.近端十二指肠梗阻与替代的右肝动脉压迫相关。
Pediatr Radiol. 2014 Feb;44(2):226-9. doi: 10.1007/s00247-013-2783-1. Epub 2013 Sep 10.
5
A pattern-based approach to bowel obstruction in the newborn.基于模式的新生儿肠梗阻处理方法。
Pediatr Radiol. 2013 Mar;43(3):318-29. doi: 10.1007/s00247-012-2573-1. Epub 2012 Dec 12.
6
Sonographic assessment of the retroperitoneal position of the third portion of the duodenum: an indicator of normal intestinal rotation.超声评估十二指肠第三段腹膜后位置:正常肠旋转的指标。
Pediatr Radiol. 2012 Aug;42(8):941-5. doi: 10.1007/s00247-012-2403-5. Epub 2012 Jun 9.
7
Duodenal web: complications and failure of endoscopic treatment.
Gastrointest Endosc. 2012 May;75(5):1123-4. doi: 10.1016/j.gie.2011.12.036.
8
CT appearance of the duodenum and mesenteric vessels in children with normal and abnormal bowel rotation.正常和异常肠旋转儿童的十二指肠和肠系膜血管的 CT 表现。
Pediatr Radiol. 2011 Nov;41(11):1378-83. doi: 10.1007/s00247-011-2118-z. Epub 2011 May 19.
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Surgical emergencies of the alimentary tract of the newborn.
N Engl J Med. 1945 Nov 29;233:660-3. doi: 10.1056/nejm194511292332204.
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Successful endoscopic treatment of a double duodenal web in an infant.
Gastrointest Endosc. 2011 Feb;73(2):401-3. doi: 10.1016/j.gie.2010.06.052. Epub 2010 Sep 24.