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以急腹症和便血为表现的中肠管状重复畸形:来自坦桑尼亚北部的一例病例报告

Tubular Duplication of the Midgut Presenting with Acute Abdomen and Hematochezia: A Case Report from Northern Tanzania.

作者信息

Herman Ayesiga M, Msuya David, Kaino Mwemezi, Shilanaiman Hilary, Magoma Joachim, Issangya Christian, Lodhia Jay, Tarmohamed Murad, Pyuza Jeremia, Amsi Patric, Mremi Alex, Mbwasi Ronald, Letara Nuru

机构信息

Department of General Surgery, Kilimanjaro Christian Medical Center, P.O. Box 3010, Moshi, Tanzania.

Kilimanjaro Christian Medical University College, P.O. Box 2240, Moshi, Tanzania.

出版信息

Case Rep Surg. 2018 Jan 24;2018:2858723. doi: 10.1155/2018/2858723. eCollection 2018.

Abstract

Enteric duplication is one of the rare malformations affecting the small intestine more than the other parts of the gastrointestinal tract. It poses a challenge in diagnosis due to nonspecific symptoms that may mimic other pathologies. Furthermore, the management options including total resection, mucosal striping, and internal drainage of the duplicate depend on the presentation of the patient, site, and length of the involved bowel. We present the first documented case of enteric duplication in Tanzania, a 3-year-old male, who was found to have a 90 cm long jejunoileal duplicate. We discuss the presentation and management offered.

摘要

肠道重复畸形是一种罕见的畸形,相较于胃肠道的其他部位,它对小肠的影响更大。由于其非特异性症状可能与其他病症相似,因此在诊断方面存在挑战。此外,治疗方案包括完全切除、黏膜剥离以及重复畸形的内引流,这取决于患者的表现、病变部位以及受累肠段的长度。我们报告了坦桑尼亚首例有记录的肠道重复畸形病例,一名3岁男性,其空肠回肠重复畸形长达90厘米。我们讨论了该病例的临床表现及治疗情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a6d/5833192/2a1c910ca6d2/CRIS2018-2858723.001.jpg

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