Suppr超能文献

新生儿十二指肠重复囊肿罕见病例的诊断与外科治疗:病例报告及文献复习

Diagnosis and surgical management of a rare case of duodenal duplication cyst in a neonate: Case report and literature review.

作者信息

Alomar Khaled, Mansour Hasan, Qatleesh Safaa, Eid Nader, Alkader Mohammed Abd, Al Dalati Husam

机构信息

Damascus University, University Pediatrics' Hospital, Syrian Arab Republic.

Damascus University, University Pediatrics' Hospital, Syrian Arab Republic.

出版信息

Int J Surg Case Rep. 2023 Jun;107:108354. doi: 10.1016/j.ijscr.2023.108354. Epub 2023 May 30.

Abstract

INTRODUCTION AND IMPORTANCE

Duodenal duplication cysts are a rare subtype of alimentary tract duplications cysts, consisting of 7 % of all the duplications. The clinical presentation is variable, depending on the size, location and mass effect. Most duodenal duplication cysts abut the second or third portion of the native duodenum. The standard treatment of choice for symptomatic enteric duplication cysts is complete surgical removal. In our case, by examining the abdomen, ectopic pancreatic tissue was found on the wall of the transverse colon, along with Meckel's diverticulum, 50 cm from the ileocecal junction.

CASE PRESENTATION

We present a newborn case presented to the hospital with a history of abdominal mass with jaundice. Abdominal ultrasonography and CT scan show the presence of a cystic mass without specifying its exact source. By opening the abdomen, it was found at the expense of the duodenum, and it was excised and On histopathological analysis, a duodenal duplication cyst was diagnosed. The literature was reviewed and the approach to duodenal duplication cyst in neonates is discussed.

CLINICAL DISCUSSION

Duodenal duplication cysts are rare, even so should be taken into consideration when a mass is found. A thorough imaging investigation is crucial in establishing the diagnosis along with histopathology.

CONCLUSION

When diagnosing a Duodenal duplication cysts, the cyst must be completely removed because potential risk of malignant transformation.

摘要

引言与重要性

十二指肠重复囊肿是消化道重复囊肿的一种罕见亚型,占所有重复囊肿的7%。临床表现各异,取决于囊肿的大小、位置及占位效应。多数十二指肠重复囊肿毗邻十二指肠的第二或第三部分。有症状的肠道重复囊肿的标准治疗方法是完整手术切除。在我们的病例中,通过腹部检查,在距回盲部50厘米的横结肠壁上发现了异位胰腺组织,同时还发现了梅克尔憩室。

病例介绍

我们报告一例以腹部肿块伴黄疸病史入院的新生儿病例。腹部超声和CT扫描显示存在一个囊性肿块,但未明确其确切来源。通过剖腹探查,发现该囊肿起源于十二指肠,遂将其切除,经组织病理学分析,诊断为十二指肠重复囊肿。我们回顾了相关文献并讨论了新生儿十二指肠重复囊肿的治疗方法。

临床讨论

十二指肠重复囊肿较为罕见,即便如此,当发现肿块时仍应考虑到该病。全面的影像学检查对于确诊以及组织病理学诊断至关重要。

结论

诊断十二指肠重复囊肿时,必须将囊肿完全切除,因为存在恶变的潜在风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e45/10310913/9108ea10a640/gr1.jpg

相似文献

1
Diagnosis and surgical management of a rare case of duodenal duplication cyst in a neonate: Case report and literature review.
Int J Surg Case Rep. 2023 Jun;107:108354. doi: 10.1016/j.ijscr.2023.108354. Epub 2023 May 30.
2
Isolated duodenal duplication cyst in a neonate.
Afr J Paediatr Surg. 2022 Oct-Dec;19(4):257-260. doi: 10.4103/ajps.ajps_176_21.
3
Duodenal duplication cyst: a potentially malignant disease.
Ann Surg Oncol. 2012 Nov;19(12):3753-4. doi: 10.1245/s10434-012-2502-4. Epub 2012 Jul 26.
4
Isolated duodenal duplication cyst presenting as a complex solid and cystic mass in the upper abdomen.
J Radiol Case Rep. 2013 Nov 1;7(11):32-7. doi: 10.3941/jrcr.v7i11.1785. eCollection 2013 Nov.
5
A case of duodenal duplication cyst mimicking a pancreatic pseudocyst with intracystic hemorrhage.
Surg Case Rep. 2019 May 27;5(1):86. doi: 10.1186/s40792-019-0644-3.
6
Prenatal sonographic findings of duodenal duplication: case report.
J Clin Ultrasound. 2013 Nov-Dec;41 Suppl 1:1-5. doi: 10.1002/jcu.22007. Epub 2012 Nov 2.
7
A case report of ectopic pancreatitis in an isolated enteric duplication cyst.
BMC Surg. 2019 Jun 18;19(1):64. doi: 10.1186/s12893-019-0531-7.
9
Ileal duplication in adults: A rare case.
Int J Surg Case Rep. 2024 May;118:109606. doi: 10.1016/j.ijscr.2024.109606. Epub 2024 Apr 4.

引用本文的文献

1
Unusual retroperitoneal presentation of a Giant mesenteric cyst in a pediatric patient: Surgical case report.
Int J Surg Case Rep. 2025 Sep;134:111775. doi: 10.1016/j.ijscr.2025.111775. Epub 2025 Aug 11.
2
A unique case of enteric duplication cyst in a neonate: A case report study.
Int J Surg Case Rep. 2025 Mar;128:111056. doi: 10.1016/j.ijscr.2025.111056. Epub 2025 Feb 15.
3
Giant mesenteric cysts: Clinical insights and diagnostic challenges.
Int J Surg Case Rep. 2025 Feb;127:110941. doi: 10.1016/j.ijscr.2025.110941. Epub 2025 Jan 25.
4
A rare case of a large mesenteric lymphangioma in a 2-year-old child: Case report and review of the literature.
Int J Surg Case Rep. 2024 Mar;116:109409. doi: 10.1016/j.ijscr.2024.109409. Epub 2024 Feb 27.

本文引用的文献

1
The SCARE 2020 Guideline: Updating Consensus Surgical CAse REport (SCARE) Guidelines.
Int J Surg. 2020 Dec;84:226-230. doi: 10.1016/j.ijsu.2020.10.034. Epub 2020 Nov 9.
2
Duodenal Duplication Cysts in Children: Clinical Features and Current Treatment Choices.
Biomed Hub. 2020 Jul 13;5(2):152-164. doi: 10.1159/000508489. eCollection 2020 May-Aug.
3
Insulated-tip knife: an alternative method of marsupializing a symptomatic duodenal duplication cyst in a 3-year-old child.
VideoGIE. 2018 Sep 26;3(11):356-357. doi: 10.1016/j.vgie.2018.08.006. eCollection 2018 Nov.
4
Cysts of Gastrointestinal Origin in Children: Varied Presentation.
Pediatr Gastroenterol Hepatol Nutr. 2017 Jun;20(2):94-99. doi: 10.5223/pghn.2017.20.2.94. Epub 2017 Jun 28.
5
Colorectal duplication in adults: report of seven cases and review of the literature.
J Clin Pathol. 2010 Dec;63(12):1080-3. doi: 10.1136/jcp.2010.083238. Epub 2010 Oct 5.
6
Meta-analysis: the clinical features of the duodenal duplication cyst.
J Pediatr Surg. 2010 Aug;45(8):1598-606. doi: 10.1016/j.jpedsurg.2010.01.010.
7
Iron-deficiency anaemia caused by an enterolith-filled jejunal duplication cyst.
Ann R Coll Surg Engl. 2004 Nov;86(6):W49-51. doi: 10.1308/147870804119.
8
Carcinoid tumor arising in a duplication cyst of the duodenum.
Pathol Int. 2006 May;56(5):272-8. doi: 10.1111/j.1440-1827.2006.01957.x.
9
Duodenal duplication cyst causing severe pancreatitis: imaging findings and pathological correlation.
World J Gastroenterol. 2006 Mar 14;12(10):1630-3. doi: 10.3748/wjg.v12.i10.1630.
10

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验