Gupta S, Sleeman D, Alsumait B, Abrams L
Department of Surgery, University of Miami School of Medicine, Fla., USA.
Can J Surg. 1998 Jun;41(3):248-50.
Gastrointestinal duplication is a rare congenital anomaly. Although it usually presents within the first few years of life, it may appear much later as described in this report of a 19-year-old man who had symptoms of gastric outlet obstruction. He was found to have a noncommunicating antral duplication cyst. The cyst was managed by antrectomy with excision of the cyst and several centimetres of duodenum. Microscopically the duplication cyst contained a mucosa, submucosa and muscularis. There was no evidence of ulceration or malignant cells. His recovery was smooth. The etiology, presentation and management of antral duplication cysts causing gastric outlet obstruction are discussed.
胃肠道重复畸形是一种罕见的先天性异常。虽然它通常在生命的最初几年内出现，但也可能像本报告中一名19岁有胃出口梗阻症状的男子那样，在更晚的时候出现。他被发现有一个不与外界相通的胃窦重复囊肿。该囊肿通过胃窦切除术进行处理，切除了囊肿及几厘米的十二指肠。显微镜下，重复囊肿包含黏膜、黏膜下层和肌层。没有溃疡或恶性细胞的证据。他恢复顺利。本文讨论了导致胃出口梗阻的胃窦重复囊肿的病因、表现及处理方法。
