Rahul Sandip Kumar, Upadhyaya Vijai Datta, Kumar Basant
Department of Pediatric Surgery, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India.
APSP J Case Rep. 2016 Sep 1;7(4):33. doi: 10.21699/ajcr.v7i4.447. eCollection 2016 Sep-Oct.
Gastrointestinal duplications can affect any part of the alimentary tract and are notorious for their variable presentation. Their association with malrotation and midgut volvulus is rare. We describe an 8-year old boy presented with episodes of abdominal pain. Radiological workup showed whirlpool sign and abnormal relationship of mesenteric vessels. At operation, malrotation with chronic volvulus was found. Incidentally, a jejunal communicating duplication cyst was also noted.
胃肠道重复畸形可累及消化道的任何部位,其临床表现多样,因而声名狼藉。它们与肠旋转不良和中肠扭转的关联较为罕见。我们描述了一名8岁男孩,他出现腹痛发作。影像学检查显示有漩涡征及肠系膜血管关系异常。手术时发现存在伴有慢性扭转的肠旋转不良。偶然间,还发现了一个空肠交通性重复囊肿。