伴有反复腹痛的腔内憩室性十二指肠重复畸形：一例报告
Intraluminal Diverticular Duodenal Duplication With Recurrent Abdominal Pain: A Case Report.
作者信息
Chen Jie, Xiong Guo-Zuo, Tan Xiong, Wu Fei, Luo Dong-Yang, Zou Qing-Qing, Deng Zhihe, Bi Guo-Shan
机构信息
Department of Vascular Surgery, The Second Affiliated Hospital, Hengyang Medical School, University of South China, Hengyang, China.
School of Nursing, University of South China, Hengyang, China.
出版信息
Front Pediatr. 2022 Mar 15;10:833304. doi: 10.3389/fped.2022.833304. eCollection 2022.
Duodenal duplication is a rare congenital anomaly and may manifest as pancreatitis, gastrointestinal bleeding, abdominal pain, perforation, and obstruction. Here, we present a case of intraluminal diverticular duodenal duplication (IDDD) in a child with recurrent abdominal pain caused by a large hole-like structure in the duodenal bulb. This condition has rarely been reported. An 11-year-old boy presented with recurrent attacks of abdominal pain. Upper endoscopy examination and barium swallowing led to an initial diagnosis of IDDD; this diagnosis was confirmed by operative findings and histopathological signs. He underwent a subtotal excision and duodenal anastomosis. No serious complications occurred following treatment. The patient was followed up for 8 months, and his condition improved without symptoms.
十二指肠重复畸形是一种罕见的先天性异常，可表现为胰腺炎、胃肠道出血、腹痛、穿孔和梗阻。在此，我们报告一例儿童腔内憩室型十二指肠重复畸形（IDDD），其十二指肠球部有一个大的孔状结构，导致反复腹痛。这种情况鲜有报道。一名11岁男孩反复出现腹痛发作。上消化道内镜检查和吞钡检查初步诊断为IDDD；手术所见和组织病理学征象证实了这一诊断。他接受了次全切除和十二指肠吻合术。治疗后未发生严重并发症。对该患者进行了8个月的随访，其病情好转，无症状。
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