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一例罕见的十二指肠空肠套叠导致妊娠期胆道梗阻的病例。

A rare case of duodenojejunal intussusception causing biliary obstruction during pregnancy.

作者信息

El Aouadi Salma, Maslouhi Kaoutar, Bahha Soukaina, Guetmy Zakaria, El Alaoui Amina B, Houssaini Zaynab I, El Aoufir Omar, Jroundi Laila, Nassar Ittimade, Messaoud Ola

机构信息

Department of Radiology, Ibn Sina University Hospital Center, Avenue Ibn Rochd, Agdal District, Rabat 10000, Rabat-Salé-Kénitra Region, Morocco.

Emergency Surgical Department, Ibn Sina University Hospital Center, Avenue Ibn Rochd, Agdal District, Rabat 10000, Rabat-Salé-Kénitra Region, Morocco.

出版信息

J Surg Case Rep. 2025 Sep 8;2025(9):rjaf686. doi: 10.1093/jscr/rjaf686. eCollection 2025 Sep.

Abstract

Intussusception is an uncommon cause of intestinal obstruction in adults and rarely encountered during pregnancy. Duodenal intussusception is particularly rare due to the fixed position of the duodenum. We report a unique case of duodenojejunal intussusception in a pregnant woman at 28 weeks of gestation, who presented with symptoms mimicking acute pancreatitis complicated by biliary tract obstruction. To our knowledge, this is the first description of such a presentation without an identifiable lead point, illustrating the diagnostic value of imaging and the importance of considering rare etiologies in the differential diagnosis of abdominal pain during pregnancy.

摘要

肠套叠是成人肠梗阻的罕见原因,在孕期很少见。由于十二指肠位置固定,十二指肠套叠尤为罕见。我们报告一例妊娠28周孕妇发生十二指肠空肠套叠的独特病例,该孕妇表现出类似急性胰腺炎并伴有胆道梗阻的症状。据我们所知,这是首例无明确引导点的此类病例报告,说明了影像学检查的诊断价值以及在孕期腹痛鉴别诊断中考虑罕见病因的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29e6/12416810/2d9d9c3a4d85/rjaf686f1.jpg

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