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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.

DOI:10.1155/2018/2858723
PMID:29670800
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5833192/
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/5833192/8ed182109782/CRIS2018-2858723.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a6d/5833192/2a1c910ca6d2/CRIS2018-2858723.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a6d/5833192/e611da08dd3e/CRIS2018-2858723.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a6d/5833192/8ed182109782/CRIS2018-2858723.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a6d/5833192/2a1c910ca6d2/CRIS2018-2858723.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a6d/5833192/e611da08dd3e/CRIS2018-2858723.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a6d/5833192/8ed182109782/CRIS2018-2858723.003.jpg

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本文引用的文献

1
Role of mini-invasive surgery in the treatment of enteric duplications in paediatric age: a survey of 15 years.微创手术在小儿肠重复畸形治疗中的作用：15年的调查研究
Pediatr Med Chir. 2012 Sep-Oct;34(5):217-22. doi: 10.4081/pmc.2012.57.
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Dynamic change of intestinal duplication in an adult patient: a case report and literature review.一名成年患者肠道重复畸形的动态变化：病例报告及文献综述
Case Rep Med. 2012;2012:297585. doi: 10.1155/2012/297585. Epub 2012 Jun 20.
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Adenocarcinoma arising in a cystic duplication of the small bowel: case report and review of literature.
小肠囊性重复畸形中腺癌的发生：病例报告及文献复习。
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Evidence of a common pathogenesis for foregut duplications and esophageal atresia with tracheo-esophageal fistula.前肠重复畸形与食管闭锁合并气管食管瘘存在共同发病机制的证据。
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Enteric duplication in the adult, derived from the foregut, midgut and hindgut: presentation, patterns and literature review.成人源自前肠、中肠和后肠的肠重复畸形：临床表现、类型及文献综述
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Duplications of the alimentary tract in infants and children.婴幼儿消化道重复畸形
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