Louredo Méndez A, Alonso Poza A, De Tomás Palacios J, Trinchet Hernández M, Muñoz-Calero A
Servicio de Cirugía General I, Hospital General Universitario Gregorio Marañón, Madrid.
Rev Esp Enferm Dig. 1998 Mar;90(3):191-3.
The authors report an exceptional case of acute abdomen caused by the necrosis and perforation of a duodenal duplication cyst in a 23 year-old-patient. The cyst was located at the anterior and lateral surface of the duodenum, between its first and second portion. The patient underwent a cephalic duodenopancreatectomy (Whipple's procedure) because of the intimate adherence of the necrotic and inflammatory mass to duodenum and head of the pancreas. The histological examination of surgical specimen confirmed the diagnosis, showing a cystic structure lined with an epithelium and a common muscle wall shared by the cyst and the duodenum. There was no communication between the cyst and duodenal lumen.
作者报告了一例罕见病例，一名23岁患者因十二指肠重复囊肿坏死穿孔导致急腹症。囊肿位于十二指肠第一和第二部分之间的前外侧表面。由于坏死和炎性肿块与十二指肠及胰头紧密粘连，患者接受了胰头十二指肠切除术（惠普尔手术）。手术标本的组织学检查证实了诊断，显示囊肿结构内衬上皮，囊肿与十二指肠共有一层共同的肌壁。囊肿与十二指肠腔之间没有相通。
