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一例回肠重复囊肿病例报告:从诊断到治疗

An ileal duplication cyst case report: From diagnosis to treatment.

作者信息

D'Agostino Valerio, Castaldo Anna, Catelli Antonio, Pesce Ilaria, Genovese Stefano, Coppola Luigi, Monaci Alessandro, Esposito Ciro, Amitrano Michele

机构信息

Advanced Biomedical Sciences Department, University Federico II of Naples (UNINA), via S. Pansini 5, I-80131 Naples, Italy.

出版信息

Radiol Case Rep. 2021 Apr 28;16(7):1597-1602. doi: 10.1016/j.radcr.2021.03.007. eCollection 2021 Jul.

DOI:10.1016/j.radcr.2021.03.007
PMID:33995750
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8102431/
Abstract

Enteric duplication cysts (EDCs) are rare congenital malformations of the children and can develop everywhere along the gastrointestinal (GI) tract, being the ileum the most frequent localization. We herein present an unusual case of duplication cyst of ileal origin who show a tubular morphology and doesn't communicate with GI lumen. A 2-month-old boy was admitted to our hospital for investigation of an anechoic formation of the lower right abdomen for the surgical planning. The patient was asymptomatic. Ultrasound (US) and magnetic resonance imaging (MRI) showed features of a cystic lesion. Laparoscopic surgery was performed and the cyst excised. Macroscopic examination and histologic findings confirmed the diagnosis of a enteric duplication cyst arising from the ileum. In a patient with an abdominal cystic mass, although asymptomatic, it's worth assessing the nature of the lesion and planning a surgery in order to avoid future complications. A correct use of diagnostic it's fundamental to identify the etiology and the characteristics of a cystic mass.

摘要

肠重复囊肿(EDC)是儿童罕见的先天性畸形,可沿胃肠道(GI)的任何部位发生,最常见于回肠。我们在此报告一例罕见的回肠源性重复囊肿病例,该囊肿呈管状形态,且不与胃肠道腔相通。一名2个月大的男孩因右下腹部无回声包块入院,以便进行手术规划检查。该患者无症状。超声(US)和磁共振成像(MRI)显示为囊性病变特征。进行了腹腔镜手术并切除了囊肿。宏观检查和组织学检查结果证实诊断为回肠源性肠重复囊肿。对于患有腹部囊性肿块的患者,尽管无症状,但评估病变性质并规划手术以避免未来并发症是值得的。正确使用诊断方法对于确定囊性肿块的病因和特征至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe93/8102431/427257888b37/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe93/8102431/061c812c61de/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe93/8102431/84b3298299cf/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe93/8102431/5f63099538fe/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe93/8102431/3f9ae83f6dee/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe93/8102431/c1fcf9515522/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe93/8102431/427257888b37/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe93/8102431/061c812c61de/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe93/8102431/84b3298299cf/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe93/8102431/5f63099538fe/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe93/8102431/3f9ae83f6dee/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe93/8102431/c1fcf9515522/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe93/8102431/427257888b37/gr6.jpg

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本文引用的文献

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Abdom Radiol (NY). 2018 Dec;43(12):3513-3514. doi: 10.1007/s00261-018-1620-2.
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Duplication cyst of the ileum presenting with severe anemia detected by double-balloon endoscopy.经双气囊内镜检查发现的以严重贫血为表现的回肠重复囊肿。
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Infected enteric duplication cyst.感染性肠重复囊肿
一名女性新生儿的空肠重复囊肿:病例报告
Ann Med Surg (Lond). 2023 Sep 14;85(11):5724-5727. doi: 10.1097/MS9.0000000000001303. eCollection 2023 Nov.
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Enteric Duplication Cysts in Children: A Single-Institution Series with Forty Patients in Twenty-Six Years.儿童肠道重复囊肿:一家机构26年40例患者的系列研究
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Ultrasound evaluation of the enteric duplication cyst: the gut signature.肠重复囊肿的超声评估:肠道特征
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