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十二指肠憩室病作为严重腹痛的罕见病因

Duodenal Diverticulosis as an Unusual Cause of Severe Abdominal Pain.

作者信息

Aljabri Wajd A, Hasosah Mohammed, AlMehdar Abeer, Bakhsh Dohaa, Alturkistany Faris O

机构信息

Pediatric Gastroenterology, King Saud Bin Abdulaziz University for Health Sciences, National Guard Hospital, Jeddah, SAU.

Pediatric Gastroenterology, King Saud Bin Abdulaziz University for Health Sciences, King Abdullah International Medical Research Center, Jeddah, SAU.

出版信息

Cureus. 2020 Sep 22;12(9):e10586. doi: 10.7759/cureus.10586.

DOI:10.7759/cureus.10586
PMID:33110722
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7580970/
Abstract

Duodenal diverticulosis (DD) is a rare disease in children, and its etiology is unknown. Here, we report a 13-year-old boy with severe abdominal pain. A diagnosis of DD was made based on clinical and image findings. He responds to analgesic, antibiotic and nutritional treatment. The early identification of child with DD as potential cause of severe abdominal pain with pancreatitis is important - because delayed diagnosis might lead to irreversible consequences - to avoid morbidity and mortality, and unnecessary surgery.

摘要

十二指肠憩室病(DD)在儿童中是一种罕见疾病,其病因尚不清楚。在此,我们报告一名13岁严重腹痛男孩。根据临床和影像学检查结果确诊为DD。他对止痛、抗生素及营养治疗有反应。早期识别患有DD的儿童是严重腹痛伴胰腺炎的潜在病因很重要——因为延迟诊断可能导致不可逆转的后果——以避免发病和死亡,以及不必要的手术。

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Duodenal Diverticulitis: To Operate or Not To Operate?十二指肠憩室炎:手术与否?
Cureus. 2019 Nov 26;11(11):e6236. doi: 10.7759/cureus.6236.
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Conservative treatment of duodenal diverticulitis perforation: a case report and literature review.十二指肠憩室炎穿孔的保守治疗:一例病例报告及文献综述
Open Access Emerg Med. 2018 Aug 30;10:101-104. doi: 10.2147/OAEM.S168487. eCollection 2018.
3
Association Between Juxtapapillary Duodenal Diverticula and Risk of Choledocholithiasis: a Systematic Review and Meta-analysis.十二指肠乳头旁憩室与胆总管结石风险的相关性:系统评价和荟萃分析。
J Gastrointest Surg. 2018 Dec;22(12):2167-2176. doi: 10.1007/s11605-018-3865-z. Epub 2018 Jul 18.
4
Imaging of non-neoplastic duodenal diseases. A pictorial review with emphasis on MDCT.非肿瘤性十二指肠疾病的影像学。重点关注多层螺旋CT的图谱综述。
Insights Imaging. 2018 Apr;9(2):121-135. doi: 10.1007/s13244-018-0593-6. Epub 2018 Jan 31.
5
Perforated Duodenal Diverticulum Treated Conservatively: Another Two Successful Cases.保守治疗十二指肠穿孔性憩室:又两例成功病例
Case Rep Surg. 2017;2017:4045970. doi: 10.1155/2017/4045970. Epub 2017 May 7.
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Patients with computed tomography-proven acute diverticulitis require follow-up to exclude colorectal cancer.经计算机断层扫描证实为急性憩室炎的患者需要进行随访,以排除结直肠癌。
Intest Res. 2017 Apr;15(2):195-202. doi: 10.5217/ir.2017.15.2.195. Epub 2017 Apr 27.
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Ultrasound diagnosis of diverticulitis.憩室炎的超声诊断
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