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新生儿肠重复囊肿的一例独特病例:病例报告研究

A unique case of enteric duplication cyst in a neonate: A case report study.

作者信息

Alomar Mohammad, Alomar Khaled

机构信息

Idlib University - Member of the Scientific Council of Pediatrics in the Syrian Board of Medical Specialties (SBOMS), Syria.

Damascus University, Damascus, Syria.

出版信息

Int J Surg Case Rep. 2025 Mar;128:111056. doi: 10.1016/j.ijscr.2025.111056. Epub 2025 Feb 15.

Abstract

INTRODUCTION

Clinical manifestations of intestinal duplication cysts are varied, influenced by factors such as size, location, and mass effect. Most of these cysts are adjacent to the second or third portion of the native duodenum. Complete surgical excision is the standard treatment for symptomatic enteric duplication cysts.

CASE PRESENTATION

We present the case of a neonate who was admitted to the hospital with abdominal distension and jaundice. Abdominal ultrasound and CT scan revealed a cystic mass of uncertain origin. Surgical exploration demonstrated a duodenal duplication cyst, which was successfully excised. Histopathological examination confirmed the diagnosis. A review of the literature highlights the approach to duodenal duplication cysts in neonates.

CLINICAL DISCUSSION

While rare, duodenal duplication cysts should be considered in the differential diagnosis of abdominal masses. Comprehensive imaging studies and histopathological examination are essential for accurate diagnosis.

CONCLUSION

Complete surgical excision of duodenal duplication cysts is crucial to prevent potential complications, such as malignant transformation.

摘要

引言

肠重复囊肿的临床表现多样,受大小、位置和占位效应等因素影响。这些囊肿大多毗邻十二指肠的第二或第三部分。完整手术切除是有症状的肠道重复囊肿的标准治疗方法。

病例介绍

我们报告一例因腹胀和黄疸入院的新生儿病例。腹部超声和CT扫描显示一个来源不明的囊性肿块。手术探查发现一个十二指肠重复囊肿,并成功切除。组织病理学检查确诊。文献回顾强调了新生儿十二指肠重复囊肿的处理方法。

临床讨论

虽然罕见,但在腹部肿块的鉴别诊断中应考虑十二指肠重复囊肿。全面的影像学检查和组织病理学检查对于准确诊断至关重要。

结论

完整手术切除十二指肠重复囊肿对于预防潜在并发症(如恶变)至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6abc/11871456/4a8f553fde4c/gr1.jpg

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