Department of Surgical Gastroenterology, GEM Hospital and Research Centre, Chennai, Tamil Nadu, India.
J Postgrad Med. 2021 Oct-Dec;67(4):232-234. doi: 10.4103/jpgm.JPGM_1231_20.
Duodenal inversum is a rare disease not frequently encountered in clinical practice. The diagnosis is usually made late due to its rarity. Many other causes of abdominal pain like ulcer disease, pancreatitis, malrotation are mostly thought of initially and the diagnosis is usually missed. Only a few cases of duodenal inversum present with outlet obstruction. Duodenojejunostomy is perhaps the ideal management for duodenal inversum if the patient presents with outlet obstruction. Our intention is to create awareness of such a rare disease with an available definitive treatment option in the form of minimally invasive surgery. One such case of a 31-year-old man is described that was successfully managed by laparoscopic duodenojejunostomy.
十二指肠反转是一种罕见的疾病，在临床实践中并不常见。由于其罕见性，通常诊断较晚。许多其他腹痛的原因，如溃疡病、胰腺炎、旋转不良，最初大多被认为是，而且通常会被误诊。只有少数十二指肠反转病例出现出口梗阻。如果患者出现出口梗阻，十二指肠空肠吻合术可能是十二指肠反转的理想治疗方法。我们的目的是通过微创手术提供一种可用的确定性治疗方案来提高对这种罕见疾病的认识。本文描述了 1 例成功接受腹腔镜十二指肠空肠吻合术治疗的 31 岁男性病例。
