先天性十二指肠隔膜延迟出现，经隔膜切开术成功治疗。
Delayed presentation of a congenital duodenal web managed successfully with incision of web.
机构信息
Department of Pediatric Surgery, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India.
Department of Pediatric Surgery, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India
出版信息
BMJ Case Rep. 2020 Dec 22;13(12):e237307. doi: 10.1136/bcr-2020-237307.
Abstract
One of the causes of congenital incomplete duodenal obstruction is the presence of congenital duodenal web with fenestration. This condition requires a high index of suspicion for an early and accurate diagnosis. We present an unusual presentation of duodenal web in a 6-year-old girl who presented with a 3-year history of cyclical and seasonal vomiting and abdominal pain. The diagnosis of congenital duodenal web with fenestration was made on contrast study and endoscopy and was treated surgically by incision of the web.
摘要
先天性不完全性十二指肠梗阻的原因之一是存在带有孔的先天性十二指肠隔膜。这种情况需要高度怀疑，以便及早准确诊断。我们介绍了一例 6 岁女孩的不典型病例，她有 3 年的周期性和季节性呕吐和腹痛病史。对比研究和内镜检查诊断为先天性带孔十二指肠隔膜，并通过隔膜切开术进行手术治疗。
相似文献
1
Delayed presentation of a congenital duodenal web managed successfully with incision of web.先天性十二指肠隔膜延迟出现，经隔膜切开术成功治疗。
BMJ Case Rep. 2020 Dec 22;13(12):e237307. doi: 10.1136/bcr-2020-237307.
2
Case report of a congenital duodenal transverse septum causing partial obstruction.先天性十二指肠横隔导致部分梗阻的病例报告。
Medicine (Baltimore). 2017 Oct;96(42):e7093. doi: 10.1097/MD.0000000000007093.
3
Congenital duodenal web causing partial obstruction with recurrent vomiting and abdominal distention in a toddler boy: a case report.先天性十二指肠隔膜导致幼儿男孩反复呕吐和腹胀伴部分梗阻：病例报告。
J Med Case Rep. 2023 Nov 24;17(1):507. doi: 10.1186/s13256-023-04179-3.
4
Congenital duodenal web (wind-soak variety) in the fourth part of the duodenum causing obstruction in a female child.一名女童十二指肠第四部分先天性十二指肠蹼（风泡型）导致梗阻。
Mymensingh Med J. 2012 Oct;21(4):745-8.
5
Duodenal Volvulus due to Duodenum Inversum.十二指肠反转致十二指肠扭转。
Am Surg. 2023 Nov;89(11):4881-4883. doi: 10.1177/00031348211011111. Epub 2021 Apr 16.
6
Duodenal obstruction secondary to congenital web in an adult.成人先天性十二指肠蹼继发十二指肠梗阻
Can J Surg. 1984 Jul;27(4):365-6.
7
Keyhole approach for repair of congenital duodenal obstruction.先天性十二指肠梗阻修复的锁孔入路
Eur J Pediatr Surg. 2011 Mar;21(2):124-7. doi: 10.1055/s-0030-1268455. Epub 2010 Dec 14.
8
Congenital diaphragm of the duodenum in an adult: a case report.成人先天性十二指肠隔膜：一例报告
Can J Surg. 1983 Nov;26(6):559-60.
9
Duodenal stenosis in a child.儿童十二指肠狭窄
Afr J Paediatr Surg. 2011 Jan-Apr;8(1):92-4. doi: 10.4103/0189-6725.78940.
10
Late Presentation of a Duodenal Obstruction in a Child with Failure to Thrive and Abdominal Pain.一名发育不良且腹痛儿童的十二指肠梗阻延迟表现
Klin Padiatr. 2019 Jan;231(1):41-42. doi: 10.1055/a-0642-1882. Epub 2018 Sep 20.
引用本文的文献
1
Tips and Tricks in the Laparoscopic Treatment of Type I Duodenal Atresia: Description of a Technique.腹腔镜治疗I型十二指肠闭锁的技巧与窍门：一种技术的描述
Children (Basel). 2025 Apr 17;12(4):517. doi: 10.3390/children12040517.
2
Utility of the web excision with pre-membranous incision for congenital intestinal atresia-type I and stenosis.经膜预切开的-web 切除术在先天性肠闭锁-Ⅰ型和狭窄中的应用。
BMC Pediatr. 2024 Jul 15;24(1):454. doi: 10.1186/s12887-024-04925-6.
3
Delayed Diagnosis of Congenital Duodenal Stenosis in a 16-Year-Old Girl.一名16岁女孩先天性十二指肠狭窄的延迟诊断
Case Rep Med. 2024 May 4;2024:1070253. doi: 10.1155/2024/1070253. eCollection 2024.
4
Congenital duodenal web causing partial obstruction with recurrent vomiting and abdominal distention in a toddler boy: a case report.先天性十二指肠隔膜导致幼儿男孩反复呕吐和腹胀伴部分梗阻：病例报告。
J Med Case Rep. 2023 Nov 24;17(1):507. doi: 10.1186/s13256-023-04179-3.
5
An Unusual Diagnosis for an Infant Presenting with Olive-Shaped Abdominal Mass.一名出现橄榄形腹部肿块婴儿的罕见诊断。
Case Rep Pediatr. 2023 Sep 25;2023:6924037. doi: 10.1155/2023/6924037. eCollection 2023.
本文引用的文献
1
Duodenal membranes: a late diagnosis evidenced by foreign bodies.十二指肠膜：异物所致的晚期诊断
Oxf Med Case Reports. 2017 Dec 29;2017(12):omx071. doi: 10.1093/omcr/omx071. eCollection 2017 Dec.
2
Congenital duodenal obstruction with delayed presentation: seven years of experience.先天性十二指肠梗阻伴延迟表现：七年经验
Arch Med Sci. 2016 Oct 1;12(5):1023-1027. doi: 10.5114/aoms.2016.60045. Epub 2016 May 19.
3
Congenital duodenal web: successful management with endoscopic dilatation.先天性十二指肠蹼：内镜扩张治疗成功案例
Endosc Int Open. 2016 Mar;4(3):E238-41. doi: 10.1055/s-0041-110955. Epub 2016 Jan 19.
4
Duodenal webs: an experience with 18 patients.十二指肠蹼：18例患者的经验
J Neonatal Surg. 2012 Apr 1;1(2):20. eCollection 2012 Apr-Jun.
5
Endoscopic dilation and partial resection of a duodenal web in an infant.婴儿十二指肠蹼的内镜扩张及部分切除术
J Pediatr Gastroenterol Nutr. 2009 Mar;48(3):378-81. doi: 10.1097/mpg.0b013e31818c600f.
6
Duodenal atresia and stenosis: long-term follow-up over 30 years.十二指肠闭锁和狭窄：30 年长期随访
J Pediatr Surg. 2004 Jun;39(6):867-71; discussion 867-71. doi: 10.1016/j.jpedsurg.2004.02.025.
7
Simple incision: a safe and definitive procedure for congenital duodenal diaphragm.单纯切开术：治疗先天性十二指肠隔膜的一种安全有效的方法。
J Pediatr Surg. 1999 Jun;34(6):1021-4. doi: 10.1016/s0022-3468(99)90782-0.
8
Congenital duodenal obstruction: a 32-year review.先天性十二指肠梗阻：32年回顾
J Pediatr Surg. 1993 Jan;28(1):92-5. doi: 10.1016/s0022-3468(05)80364-1.
Zotero 插件