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先天性食管真性憩室:病例报告并文献复习。

Congenital true oesophageal diverticulum: a report and review of the literature.

机构信息

Department of Paediatric Surgery, All India Institute of Medical Sciences, New Delhi, Delhi, India.

Department of Paediatric Surgery, All India Institute of Medical Sciences, New Delhi, Delhi, India

出版信息

BMJ Case Rep. 2022 May 16;15(5):e249080. doi: 10.1136/bcr-2022-249080.

Abstract

Oesophageal diverticulum occurring secondary to motility disorders or gastro-oesophageal reflux disease (GERD) is common in adults but true congenital oesophageal diverticula are rare in infants and children. We present a case of a toddler boy who presented with dysphagia and vomiting after feeds after weaning was attempted starting at 6 months of age. Barium esophagogram revealed a diverticulum in the upper one-third of the oesophagus within the thoracic cavity. The child underwent multiple interventions elsewhere without definitive surgery that highlights the rarity of this condition. Thoracotomy and repair were performed by us with a satisfactory outcome. The review of the literature on the clinical presentation and management of this rare condition has been discussed, highlighting similar reported cases.

摘要

食管憩室继发于动力障碍或胃食管反流病(GERD)在成人中很常见,但真正的先天性食管憩室在婴儿和儿童中很少见。我们报告了一例 6 个月大开始断奶后出现进食后吞咽困难和呕吐的幼儿病例。食管钡造影显示胸腔内食管中上三分之一有憩室。该患儿在其他地方接受了多次干预,但没有进行明确的手术,这突出了这种情况的罕见性。我们通过开胸手术进行了修复,结果令人满意。本文还讨论了对这种罕见疾病的临床表现和治疗的文献复习,强调了类似的报道病例。

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本文引用的文献

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Clin Gastroenterol Hepatol. 2014 Nov;12(11):1773-82; quiz e111-2. doi: 10.1016/j.cgh.2013.09.016. Epub 2013 Sep 18.
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