回肠重复囊肿合并异位胰腺：1例报告及文献复习

Ileal duplication cyst associated with heterotopic pancreas: report of a case and literature review.

作者信息

Sato T, Oyamada M, Chiba H, Koide S, Yuyama Y, Watabe K, Denno R, Ueda D, Sato N, Mori M

机构信息

First Department of Surgery, Sapporo Medical University, School of Medicine, Japan.

出版信息

Acta Pathol Jpn. 1993 Oct;43(10):597-602. doi: 10.1111/j.1440-1827.1993.tb03236.x.

DOI:10.1111/j.1440-1827.1993.tb03236.x

PMID:8291448

Abstract

A rare case of solitary ileal duplication cyst accompanied by heterotopic pancreas in the terminal ileum is presented. An 8 year old boy with an ovoid shaped, elastic soft and pendant-growing ileal duplication cyst associated with aberrant pancreatic tissue but not communicating with the lumen of the ileum, underwent an adhesiotomy for a small intestinal adhesion that caused bowel obstruction. The obstructive state of the intestine seemed to be caused by an inflammation of the duplication cyst which was 4.5 x 2.7 x 2.5 cm and oval in shape. Excision of the cyst and the heterotopic pancreas was curative. The histological findings were identical to heterotopic pancreas accompanied by ileal duplication without any clinical features of heterotopic pancreas. A review of the literature is presented along with the author's experience in a case of ileal duplication cyst associated with heterotopic pancreas located in the ileum.

摘要

本文报告一例罕见的孤立性回肠重复囊肿，伴有回肠末端的异位胰腺。一名8岁男孩，患有卵形、质地弹性柔软且呈悬垂状生长的回肠重复囊肿，与异常胰腺组织相关，但不与回肠腔相通，因小肠粘连导致肠梗阻而接受了粘连松解术。肠道梗阻状态似乎是由一个大小为4.5×2.7×2.5厘米、椭圆形的重复囊肿炎症引起的。囊肿及异位胰腺切除后治愈。组织学检查结果与伴有回肠重复的异位胰腺相同，且无任何异位胰腺的临床特征。本文结合作者对一例位于回肠的伴有异位胰腺的回肠重复囊肿的经验进行了文献综述。