Blais C, Massé S
Department of Radiology, CHU de Sherbrooke, Fleurimont, Quebec, Canada.
J Pediatr Surg. 1995 Sep;30(9):1384-6. doi: 10.1016/0022-3468(95)90516-2.
Duplication cysts of the antral and duodenal regions are rare, and small ones are difficult to diagnose preoperatively. The authors present the case of a 4-year-old boy with recurrent bouts of upper gastrointestinal hemorrhage over the previous 2 years. At first, gastroscopy was diagnostic for antral ulcerations, which healed with medical treatment. Chronic blood loss persisted and was associated with abdominal pain. A barium study showed antral deformity, with a suspected mass, which prompted a selective ultrasound examination, during which a 1-cm duplication cyst was detected. Of special interest is the change in shape and content of that cyst, demonstrated sonographically over a 2-month period. In children, high-resolution ultrasonography can be an important step in evaluation of the gastrointestinal tract. Here it showed a small but surgically significant lesion.
胃窦和十二指肠区域的重复囊肿很少见，小的囊肿术前很难诊断。作者报告了一例4岁男孩的病例，该男孩在过去两年中反复出现上消化道出血。起初，胃镜检查诊断为胃窦溃疡，经药物治疗后愈合。慢性失血持续存在，并伴有腹痛。钡剂造影显示胃窦畸形，怀疑有肿块，这促使进行选择性超声检查，在此期间发现了一个1厘米的重复囊肿。特别值得关注的是，在两个月的时间里，超声检查显示该囊肿的形状和内容物发生了变化。在儿童中，高分辨率超声检查可能是评估胃肠道的重要一步。在此病例中，它显示出一个虽小但具有手术意义的病变。
