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患有先天性十二指肠梗阻和异位肝实质的新生儿。

Neonate with Congenital Duodenal Obstruction and Ectopic Hepatic Parenchyma.

作者信息

Kumar Shishir, Kumar Parveen, Jha Khushboo, Khatri Arti

机构信息

Department of Pediatric Surgery, Chacha Nehru Bal Chikitsalya, New Delhi, India.

Department of Pathology, Chacha Nehru Bal Chikitsalya, New Delhi, India.

出版信息

Fetal Pediatr Pathol. 2022 Aug;41(4):677-681. doi: 10.1080/15513815.2021.1919809. Epub 2021 May 4.

Abstract

The presence of hepatic parenchyma at ectopic locations is infrequently reported in neonatal age. A male neonate presented with clinical signs and symptoms of duodenal obstruction. At exploration, an annular pancreas was found as the causative factor and he underwent a Kimura's duodeno-duodenostomy. A pedicled cyst was attached to the stomach's greater curvature, was excised, and histologically was a mesothelial-lined cyst with ectopic liver, complete with bile ducts, in the cyst wall. Ectopic liver tissue may be clinically silent and found within the wall of a mesothelial cyst. Long-term complications of this ectopic tissue are not known.

摘要

异位部位出现肝实质在新生儿期鲜有报道。一名男性新生儿出现十二指肠梗阻的临床症状和体征。手术探查时,发现环状胰腺是病因,遂行木村氏十二指肠-十二指肠吻合术。一个带蒂囊肿附着于胃大弯,予以切除,组织学检查显示为一个间皮内衬囊肿,囊壁内有异位肝脏,伴有胆管。异位肝组织可能临床上无明显症状,可在间皮囊肿壁内发现。这种异位组织的长期并发症尚不清楚。

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