Economides N G, Fortner T M, Dunavant W D
Am J Surg. 1981 Feb;141(2):274-6. doi: 10.1016/0002-9610(81)90173-2.
An unusual case of duodenal diaphragm in a 24 year old patient who presented with symptoms of the superior mesenteric artery syndrome is presented. The patient had rheumatoid arthritis and had been treated with salicylates, which were thought to have produced inflammation and occlusion of the aperture to the point of complete obstruction. Complete excision of the diaphragm through anterior duodenotomy and distal duodenojejunostomy provided an excellent result.
本文报告了一例24岁十二指肠隔膜患者,该患者表现出肠系膜上动脉综合征的症状。患者患有类风湿性关节炎,曾接受水杨酸盐治疗,据认为水杨酸盐导致了十二指肠隔膜孔的炎症和阻塞,直至完全梗阻。通过十二指肠前切开术和十二指肠空肠远端吻合术对隔膜进行完全切除,效果良好。