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上消化道成像对成人十二指肠蹼的诊断价值:一例报告

Diagnostic value of upper gastrointestinal imaging for duodenal webbing in adults: A case report.

作者信息

Chen Kang-Quan, Jiang Wen-Qian, Li Xiao-Rong

机构信息

Department of Radiology, General Hospital of Southern Theater Command, Guangzhou 510010, Guangdong Province, China.

出版信息

World J Clin Cases. 2025 Apr 26;13(12):101443. doi: 10.12998/wjcc.v13.i12.101443.

DOI:10.12998/wjcc.v13.i12.101443
PMID:40291583
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11718561/
Abstract

BACKGROUND

Duodenal web is a rare congenital malformation, exceedingly uncommon in adults, and often misdiagnosed due to the subtle imaging features.

CASE SUMMARY

By analyzing the clinical diagnosis process and various imaging findings of a patient from our institution, this case report emphasizes the necessity of upper gastrointestinal series in diagnosing duodenal webs, outlines its typical radiographic features, and provides a literature review on the etiology, clinical presentation, and management of this condition.

CONCLUSION

This case report emphasizes the necessity of upper gastrointestinal series in diagnosing duodenal webs.

摘要

背景

十二指肠蹼是一种罕见的先天性畸形,在成人中极为罕见,且由于其影像学特征不明显,常被误诊。

病例摘要

通过分析我院一名患者的临床诊断过程及各种影像学表现,本病例报告强调了上消化道造影在诊断十二指肠蹼中的必要性,概述了其典型的放射学特征,并对该疾病的病因、临床表现及治疗进行了文献综述。

结论

本病例报告强调了上消化道造影在诊断十二指肠蹼中的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60b5/11718561/6c1a33c028ff/101443-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60b5/11718561/5d28826b9dc5/101443-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60b5/11718561/17231b7959e8/101443-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60b5/11718561/e17c772c102d/101443-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60b5/11718561/b1f402e134d1/101443-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60b5/11718561/cc31d81f7379/101443-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60b5/11718561/6c1a33c028ff/101443-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60b5/11718561/5d28826b9dc5/101443-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60b5/11718561/17231b7959e8/101443-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60b5/11718561/e17c772c102d/101443-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60b5/11718561/b1f402e134d1/101443-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60b5/11718561/cc31d81f7379/101443-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60b5/11718561/6c1a33c028ff/101443-g006.jpg

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本文引用的文献

1
Duodenal Web in an Elderly Patient with Abdominal Discomfort and Vomiting: A Rare Case.老年患者腹痛、呕吐的十二指肠淤滞症:罕见病例。
Arch Iran Med. 2023 Aug 1;26(8):455-458. doi: 10.34172/aim.2023.69.
2
Case report of a congenital duodenal transverse septum causing partial obstruction.先天性十二指肠横隔导致部分梗阻的病例报告。
Medicine (Baltimore). 2017 Oct;96(42):e7093. doi: 10.1097/MD.0000000000007093.
3
Congenital duodenal obstruction: causes and imaging approach.先天性十二指肠梗阻:病因及影像学检查方法
Pediatr Radiol. 2016 Jul;46(8):1084-95. doi: 10.1007/s00247-016-3603-1. Epub 2016 Jun 20.
4
Congenital duodenal diaphragm in an adult masquerading as superior mesenteric artery syndrome.成人先天性十二指肠隔膜伪装成肠系膜上动脉综合征。
Clin J Gastroenterol. 2013 Jun;6(3):217-20. doi: 10.1007/s12328-013-0382-1. Epub 2013 May 17.
5
Endoscopic dilation and partial resection of a duodenal web in an infant.婴儿十二指肠蹼的内镜扩张及部分切除术
J Pediatr Gastroenterol Nutr. 2009 Mar;48(3):378-81. doi: 10.1097/mpg.0b013e31818c600f.
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Upper gastrointestinal tract obstruction due to congenital duodenal diaphragm.先天性十二指肠隔膜导致的上消化道梗阻
Surg Radiol Anat. 2006 Jun;28(3):325-7. doi: 10.1007/s00276-006-0089-9. Epub 2006 Mar 9.
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Congenital duodenal anomalies in the adult.成人先天性十二指肠异常
Arch Surg. 2001 May;136(5):576-84. doi: 10.1001/archsurg.136.5.576.
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Embryogenesis of pancreaticobiliary maljunction inferred from development of duodenal atresia.
J Hepatobiliary Pancreat Surg. 1999;6(1):50-4. doi: 10.1007/s005340050083.
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Endoscopic laser treatment of a congenital duodenal diaphragm in an adult.成人先天性十二指肠隔膜的内镜激光治疗
Gastrointest Endosc. 1984 Aug;30(4):253-4. doi: 10.1016/s0016-5107(84)72399-6.
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Postoperative gastric atony after vagotomy for obstructing peptic ulcer.
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