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十二指肠憩室引起的肠套叠致急性十二指肠梗阻 1 例报告。

Acute duodenal obstruction secondary to intussusception caused by the duodenal diverticulum: a case report.

机构信息

Department of Gastrointestinal Surgery, First Hospital of Jilin University, Changchun, 130021, Jilin, China.

出版信息

BMC Gastroenterol. 2020 Jul 22;20(1):234. doi: 10.1186/s12876-020-01379-9.

Abstract

BACKGROUND

The duodenal intussusception is rarely reported and usually occurs secondary to organic diseases of the duodenum such as polyps, tumors and duplication cysts. Herein we report a case of duodenal intussusception caused by duodenal diverticulum.

CASE PRESENTATION

A 21-year old male patient presented with abdominal pain and vomiting for one day. A contrast enhanced computed tomography of the abdomen revealed duodenal intussusception. On emergency laparotomy, the intussusception had reduced spontaneously while an invaginated diverticulum was seen at the junction of the descending and horizontal segments of the duodenum. The diverticulum was resected and the patient had uneventful recovery.

CONCLUSION

Duodenal intussusception is a rare complication of duodenal diverticulum. Being aware of this complication of diverticulum can help in timely diagnosis and treatment.

摘要

背景

十二指肠套叠很少见,通常继发于十二指肠的器质性疾病,如息肉、肿瘤和重复囊肿。本文报告 1 例由十二指肠憩室引起的十二指肠套叠。

病例介绍

一名 21 岁男性患者因腹痛和呕吐 1 天就诊。腹部增强 CT 显示十二指肠套叠。急诊剖腹探查时,套叠自行复位,在十二指肠降段和水平段交界处可见一个内陷憩室。憩室被切除,患者恢复顺利。

结论

十二指肠套叠是十二指肠憩室的罕见并发症。了解憩室的这种并发症有助于及时诊断和治疗。

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