Department of Surgery, Inova Fairfax Medical Campus, Falls Church, VA, USA.
Trauma Acute Care Surgery, Inova Fairfax Hospital, Department of Surgery, Virginia Commonwealth School of Medicine, Richmond, VA, USA.
Am Surg. 2023 Nov;89(11):4881-4883. doi: 10.1177/00031348211011111. Epub 2021 Apr 16.
Duodenum inversum, or inverted duodenum, is a rare congenital disorder resulting in an abnormal position of the third and/or fourth portions of the duodenum. Most patients are asymptomatic, but others can experience pain, nausea, vomiting, peptic ulcer disease, pancreatitis, and even intestinal obstruction. In this case, we report a patient who presented with acute abdominal pain and vomiting. He was diagnosed with duodenal volvulus and obstruction due to duodenum inversum. After failing nonoperative management, the patient was successfully treated with surgical resection.
十二指肠反转,或倒置十二指肠,是一种罕见的先天性疾病,导致第三和/或第四部分十二指肠的异常位置。大多数患者无症状,但其他患者可能出现疼痛、恶心、呕吐、消化性溃疡病、胰腺炎,甚至肠梗阻。在这种情况下,我们报告了一位出现急性腹痛和呕吐的患者。他被诊断为十二指肠反转引起的十二指肠扭转和梗阻。非手术治疗失败后,患者成功接受了手术切除治疗。