Helwing E, Echtermeyer V, Otten G
Chirurg. 1977 Feb;48(2):85-7.
A case of duodenal obstruction by a congenital duodenal web in a 34-year-old woman is presented. A mucosal diaphragm obstructed the duodenum. It showed an excentric opening of 0.8 cm diameter, but the dilated diaphragm caused a total stop during the last months. Despite a typical history, exact X-ray, and endoscopic examination, the correct preoperative diagnosis was not found, because nobody thought it possible, that a mucosal diapharm of the duodenum could persist for 34 years.
本文报告了一例34岁女性因先天性十二指肠蹼导致十二指肠梗阻的病例。一个黏膜隔膜阻塞了十二指肠。隔膜上有一个直径0.8厘米的偏心开口,但扩张的隔膜在过去几个月里导致了完全梗阻。尽管有典型的病史、精确的X线检查和内镜检查,但术前仍未做出正确诊断,因为没有人认为十二指肠黏膜隔膜能够持续存在34年。