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导致肠扭转的肠重复囊肿:急性肠梗阻的罕见病因——病例报告

Enteric Duplication Cyst Leading to Volvulus: An Unusual Cause of Acute Intestinal Obstruction - A Case Report.

作者信息

Rangaswamy Raju, Nyuwi Kuotho T, Singh Chabungbam Gyan, Sangtam Ty Apila, Varte Lalhruaitluanga

机构信息

Junior Resident, Department of Surgery, Regional Institute of Medical Sciences , Imphal, Manipur, India .

Assistant Professor, Department of Surgery, Regional Institute of Medical Sciences , Imphal, Manipur, India .

出版信息

J Clin Diagn Res. 2016 Dec;10(12):PD20-PD21. doi: 10.7860/JCDR/2016/22976.9091. Epub 2016 Dec 1.

Abstract

Enteric Duplication Cysts (EDC) is a rare congenital malformation, usually found in mesenteric side of Gastrointestinal (GI) tract. Generally patients present with non-specific symptoms depending on size and location of the cyst in GI tract. EDC presenting as small bowel volvulus is a rare clinical entity. Herein, we are reporting a 16-year-old adolescent girl who presented to Emergency Department (ED) with the features of acute bowel obstruction with septicemia. Patient underwent exploratory laparotomy which revealed dilated, twisted, gangrenous bowel due to a cystic lesion adjacent to the mesenteric side. Resection of the cystic lesion along with the affected gangrenous segment of bowel with an end to end anastomosis performed.

摘要

肠重复囊肿(EDC)是一种罕见的先天性畸形,通常位于胃肠道(GI)系膜侧。一般来说,患者会根据囊肿在胃肠道中的大小和位置出现非特异性症状。以小肠扭转形式出现的肠重复囊肿是一种罕见的临床情况。在此,我们报告一名16岁的青少年女孩,她因急性肠梗阻伴败血症的症状就诊于急诊科(ED)。患者接受了剖腹探查术,术中发现由于系膜侧相邻的囊性病变导致肠管扩张、扭曲、坏疽。切除囊性病变以及受累的坏疽肠段并进行了端端吻合。

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Completely isolated, noncontiguous duplication cyst.完全孤立的、不连续的重复囊肿。
Eur J Pediatr Surg. 2006 Apr;16(2):127-9. doi: 10.1055/s-2006-924004.
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Gastrointestinal tumors in children and adolescents.儿童和青少年的胃肠道肿瘤
Semin Pediatr Surg. 2006 Feb;15(1):37-47. doi: 10.1053/j.sempedsurg.2005.11.007.
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Gastrointestinal duplications.胃肠道重复畸形
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Diagnosis and treatment of foregut duplications.前肠重复畸形的诊断与治疗
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