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是厌食症吗？先天性十二指肠蹼。

Is It Anorexia? Congenital Duodenal Web.

作者信息

Lodola Ilaria, Dell'Anna Giuseppe, Balzano Gianpaolo, Danese Silvio

机构信息

Gastroenterology and Endoscopy Unit, IRCCS San Raffaele Hospital, Milan, Italy.

Faculty of Medicine and Surgery, Vita-Salute San Raffaele University, Milan, Italy.

出版信息

United European Gastroenterol J. 2025 Mar;13(2):288-290. doi: 10.1002/ueg2.70006. Epub 2025 Feb 19.

DOI:10.1002/ueg2.70006
PMID:39969504
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11975603/
Abstract

Congenital duodenal web (CDW) is a rare cause of intestinal obstruction in adults, making diagnosis challenging. We present the case of a 26-year-old woman with chronic epigastric symptoms who recently developed vomiting and significant weight loss. Prolonged compensatory duodenal dilation obscured typical radiological signs and delayed preoperative identification. The diagnosis was confirmed intraoperatively and managed surgically. This case highlights the need to consider CDW in adults with unexplained proximal gastrointestinal obstruction.

摘要

先天性十二指肠蹼（CDW）是成人肠梗阻的罕见病因，这使得诊断颇具挑战性。我们报告一例26岁女性病例，该患者有慢性上腹部症状，近期出现呕吐并伴有显著体重减轻。长期的代偿性十二指肠扩张掩盖了典型的放射学征象，延误了术前诊断。术中确诊并进行了手术治疗。该病例强调，对于原因不明的近端胃肠道梗阻的成人患者，需要考虑先天性十二指肠蹼的可能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7f8/11975603/3cfa3bf8d0f2/UEG2-13-288-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7f8/11975603/205113d7694a/UEG2-13-288-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7f8/11975603/27fad8bcfc99/UEG2-13-288-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7f8/11975603/3cfa3bf8d0f2/UEG2-13-288-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7f8/11975603/205113d7694a/UEG2-13-288-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7f8/11975603/27fad8bcfc99/UEG2-13-288-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7f8/11975603/3cfa3bf8d0f2/UEG2-13-288-g001.jpg

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Is It Anorexia? Congenital Duodenal Web.是厌食症吗？先天性十二指肠蹼。
United European Gastroenterol J. 2025 Mar;13(2):288-290. doi: 10.1002/ueg2.70006. Epub 2025 Feb 19.
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本文引用的文献

1
Endoscopic radial incision and cutting method for adult congenital duodenal webs: A case report.成人先天性十二指肠蹼的内镜下放射状切开及切割方法：1例报告
World J Clin Cases. 2024 Jun 26;12(18):3622-3628. doi: 10.12998/wjcc.v12.i18.3622.
2
Surgical management of duodenal web in an adult presenting with melaena; Case report and literature review.
Int J Surg Case Rep. 2021 Nov;88:106488. doi: 10.1016/j.ijscr.2021.106488. Epub 2021 Oct 6.
3
The "windsock" sign.
Abdom Radiol (NY). 2018 Mar;43(3):751-752. doi: 10.1007/s00261-017-1240-2.
4
Congenital duodenal web: successful management with endoscopic dilatation.先天性十二指肠蹼：内镜扩张治疗成功案例
Endosc Int Open. 2016 Mar;4(3):E238-41. doi: 10.1055/s-0041-110955. Epub 2016 Jan 19.