Søreide J A, Seime S, Søreide O
Department of Surgery, Haukeland University Hospital, Bergen, Norway.
Am J Gastroenterol. 1988 Sep;83(9):988-91.
Intraluminal duodenal diverticulum (IDD) is a rare congenital web of membrane causing intrinsic duodenal obstruction. We report the case of a 26-yr-old woman diagnosed by contrast study and endoscopy, who was successfully treated by surgery, and review the literature on the subject. Most patients with this obstruction are adults in their 3rd to 5th decade. The clinical presentation is nonspecific, although symptoms of gastrointestinal obstruction are frequent. A shift in the time of diagnosis, from intraoperative to preoperative contrast studies to endoscopy, has been revealed. Surgery has traditionally been an effective and safe treatment, but therapeutic endoscopy with incision or excision of the membrane may now be considered in selected patients.
腔内十二指肠憩室（IDD）是一种罕见的先天性膜性蹼，可导致十二指肠内在性梗阻。我们报告了一例经造影检查和内镜检查确诊的26岁女性病例，该患者通过手术成功治愈，并对该主题的文献进行了综述。大多数患有这种梗阻的患者是30至50岁的成年人。临床表现不具特异性，尽管胃肠道梗阻症状很常见。已发现诊断时间从术中造影检查转变为术前造影检查再到内镜检查。传统上手术一直是一种有效且安全的治疗方法，但现在对于某些选定的患者，可以考虑进行切开或切除膜的治疗性内镜检查。
