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小儿胰尾Y重复畸形合并肠重复囊肿致肠套叠的罕见病例报告

A rare presentation of Y-duplication of the pancreatic tail with enteric duplication cyst as intussusception in a child: A case report.

作者信息

Banerjee Rupa, Singh Gaurav, Aggarwal Satish K

机构信息

Department of Pediatric Surgery, Sir Ganga Ram Hospital, New Delhi, India.

Department of Pediatric Surgery, Sir Ganga Ram Hospital, New Delhi, India.

出版信息

Int J Surg Case Rep. 2021 Jan;78:96-98. doi: 10.1016/j.ijscr.2020.11.131. Epub 2020 Dec 5.

Abstract

We report a case of a 2-year-old girl who presented to us with complaints of pain abdomen and non-bilious vomiting. USG was suggestive of intussusception with necrotic bowel and free fluid in the left lumbar region. Operative findings were of enteric duplication cyst of the pancreas which was later confirmed on histopathology. Enteric duplication cysts can occur anywhere in the gastrointestinal tract but duplication cyst within the pancreas is rare. The most common presentation in other reported cases is pain abdomen due to pancreatitis but in our case, we had findings of intussusception. Children usually present with a severe complication like perforation of duplication cyst as in our case. Excision of the cyst and the duplicated pancreatic tail is the mainstay of treatment.

摘要

我们报告了一例2岁女童,她因腹痛和非胆汁性呕吐前来就诊。超声检查提示肠套叠伴坏死肠管,左腰区有游离液体。手术发现为胰腺肠重复囊肿,组织病理学检查后来证实了这一诊断。肠重复囊肿可发生于胃肠道的任何部位,但胰腺内的重复囊肿很少见。其他报道病例中最常见的表现是胰腺炎引起的腹痛,但在我们的病例中,我们发现了肠套叠。儿童通常会出现严重并发症,如我们病例中的重复囊肿穿孔。囊肿及胰腺重复尾部切除术是主要的治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c387/7744632/05af32d4a880/gr1.jpg

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