Otter M I, Marks C G, Cook M G
Department of Histopathology, Royal Surrey County Hospital, Guildford, UK.
Dig Dis Sci. 1996 Mar;41(3):627-9. doi: 10.1007/BF02282353.
A 52-year-old male presented with urinary symptoms of frequency and hesitation. X-rays, ultrasound, and computerized tomography investigations were performed that indicated the diagnosis and position of an enteric duplication cyst. Elective surgery was performed to completely remove the duplication cyst. Histological examination showed that the cyst was lined by stratified squamous, ciliated, and gastric-type epithelium, with a muscularis mucosae and a muscularis Propria. No malignancy or dysplasia was seen. Duplications of the alimentary tract are uncommon congenital abnormalities. They may be multiple and arise at any level from the mouth to the anus. Usually observed early in life, a minority may remain unsuspected until adulthood. The clinical presentations may be vague and diverse depending on their location. These include pain, distention, dysphagia, dyspepsia, and complications involve bleeding, perforation, malignancy, and obstruction of the alimentary tract and vessels. Plain x-rays are of limited use in the diagnosis of duplications but ultrasound findings may be diagnostic, with computerized tomography useful in delineating surrounding structures. Once the diagnosis is established, surgical correction is the treatment of choice, preferably with complete removal.
一名52岁男性出现尿频和排尿踌躇的泌尿系统症状。进行了X线、超声和计算机断层扫描检查，结果显示诊断为肠重复囊肿并明确了其位置。择期手术切除了整个重复囊肿。组织学检查显示囊肿内衬为复层鳞状上皮、纤毛上皮和胃型上皮，有黏膜肌层和固有肌层。未见恶性肿瘤或发育异常。消化道重复畸形是一种罕见的先天性异常。它们可能是多发的，可发生于从口腔到肛门的任何部位。通常在生命早期被发现，少数病例可能直到成年仍未被察觉。根据其位置不同，临床表现可能模糊多样。这些表现包括疼痛、腹胀、吞咽困难、消化不良，并发症包括出血、穿孔、恶性肿瘤以及消化道和血管梗阻。普通X线对重复畸形的诊断价值有限，但超声检查结果可能具有诊断意义，计算机断层扫描有助于描绘周围结构。一旦确诊，手术矫正为首选治疗方法，最好是完整切除。
