Aydin Emrah
Department of Pediatric Surgery, Bahcelievler State Hospital, Istanbul, Turkey.
North Clin Istanb. 2015 Dec 25;2(3):236-238. doi: 10.14744/nci.2015.86548. eCollection 2015.
Our aim is to present a case with initial diagnosis of non-classified type duodenal atresia operated in our clinic. A patient with prenatally suspected to be duodenal atresia was explored. At laparotomy type 3 duodenal atresia was found between 2 and 3 parts of duodenum. In addition, a web was detected distal to the atresic part. Duodenoduodenostomy together with web excision was performed. He had not any additional pathology. Although duodenal atresia is a very well known pathology by pediatric surgeons, though rarely a non-classified type duodenal atresia can be encountered. Possible presence of a second atresia should be kept in mind, proximal and distal segments of the duodenum and intestinal passage must be explored carefully for the presence of second atresic segment before performing duodenoduodenostomy.
我们的目的是介绍一例在我们诊所接受手术治疗的初诊为未分类型十二指肠闭锁的病例。对一名产前怀疑为十二指肠闭锁的患者进行了探查。剖腹手术时，在十二指肠的第2和第3部分之间发现了3型十二指肠闭锁。此外，在闭锁部位的远端检测到一个隔膜。进行了十二指肠十二指肠吻合术并切除了隔膜。他没有任何其他病变。尽管十二指肠闭锁是小儿外科医生非常熟悉的一种病变，但仍可能罕见地遇到未分类型十二指肠闭锁。应牢记可能存在第二个闭锁，在进行十二指肠十二指肠吻合术前，必须仔细探查十二指肠的近端和远端段以及肠道通道，以确定是否存在第二个闭锁段。
