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一名11岁女孩的胃出口梗阻：病例报告

Gastric outlet obstruction in an 11-year-old girl: A case report.

作者信息

Figueiredo Ana Sofia, Soares-Aquino Carolina, Amorim Rita, Melão Lina, Espinheira Céu, Pais Isabel Pinto, Campos Miguel, Trindade Eunice

机构信息

Department of Pediatrics Centro Hospitalar Trás os Montes e Alto Douro Vila Real Portugal.

Department of Pediatric Surgery Centro Hospitalar Universitário São João Porto Portugal.

出版信息

JPGN Rep. 2024 Apr 1;5(2):148-151. doi: 10.1002/jpr3.12062. eCollection 2024 May.

DOI:10.1002/jpr3.12062
PMID:38756127
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11093910/
Abstract

Pyloric stenosis commonly affects infants and rarely causes gastric outlet obstruction in adolescents and older children. We present the case of an 11-year-old girl with a 2-month history of recurrent postprandial vomiting and weight loss. On physical examination, the patient presented with abdominal distension. Upper gastrointestinal endoscopy revealed a very small pyloric orifice through which the endoscope could not be advanced. Abdominal ultrasonography and a computed tomography confirmed pylorus thickening. She underwent Heineke-Mikulicz pyloroplasty with symptom resolution.

摘要

幽门狭窄通常影响婴儿，在青少年和大龄儿童中很少引起胃出口梗阻。我们报告一例11岁女孩，有2个月反复餐后呕吐和体重减轻的病史。体格检查时，患者出现腹胀。上消化道内镜检查发现幽门孔非常小，内镜无法通过。腹部超声和计算机断层扫描证实幽门增厚。她接受了海涅克-米库利奇幽门成形术，症状得以缓解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d83/11093910/ab1800dfbd92/JPR3-5-148-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d83/11093910/056b2cb51935/JPR3-5-148-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d83/11093910/05ead42d20ab/JPR3-5-148-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d83/11093910/ab1800dfbd92/JPR3-5-148-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d83/11093910/056b2cb51935/JPR3-5-148-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d83/11093910/05ead42d20ab/JPR3-5-148-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d83/11093910/ab1800dfbd92/JPR3-5-148-g003.jpg

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本文引用的文献

1
Hypertrophic Pyloric Stenosis in an Adolescent Girl: An Atypical Presentation of an Unexpected Disease.一名青春期女孩的肥厚性幽门狭窄：一种罕见疾病的非典型表现。
Diseases. 2023 Jan 28;11(1):19. doi: 10.3390/diseases11010019.
2
Case report: Late-onset hypertrophic pyloric stenosis in a 3-year-old boy: It is never too late.病例报告：一名3岁男孩的迟发性肥厚性幽门狭窄：永远不会太晚。
Front Pediatr. 2022 Aug 16;10:949144. doi: 10.3389/fped.2022.949144. eCollection 2022.
3
Peroral pyloromyotomy for the treatment of infantile hypertrophic pyloric stenosis.
经口幽门肌切开术治疗婴儿肥厚性幽门狭窄。
Endoscopy. 2020 Apr;52(4):E122-E123. doi: 10.1055/a-1022-4274. Epub 2019 Oct 25.
4
Primary acquired gastric outlet obstruction in children: A retrospective single center study.儿童原发性胃出口梗阻：一项回顾性单中心研究。
J Pediatr Surg. 2019 Nov;54(11):2285-2290. doi: 10.1016/j.jpedsurg.2019.02.056. Epub 2019 Mar 15.
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Late-onset hypertrophic pyloric stenosis with gastric outlet obstruction: case report and review of the literature.迟发性肥厚性幽门狭窄伴胃出口梗阻：病例报告及文献复习
Pediatr Surg Int. 2016 Oct;32(10):1013-6. doi: 10.1007/s00383-016-3955-5. Epub 2016 Aug 9.
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Hypertrophic pyloric stenosis in an older child: a rare presentation with successful standard surgical management.大龄儿童肥厚性幽门狭窄：一种罕见表现，标准手术治疗成功。
BMJ Case Rep. 2013 Nov 20;2013:bcr2013201834. doi: 10.1136/bcr-2013-201834.