对于一个呈现橄形腹部质量的婴儿来说,这是一个不寻常的诊断
Ghada Maher Abdulaziz1, Khalid Maher Mohamed2, Ayat Hassan Zilai1
1Pediatric Emergency Department, King Saud Medical City, Riyadh, Saudi Arabia.
Case reports in pediatrics
|October 4, 2023
概括
婴儿的可触摸的橄质量,通常暗示过度缩的胆管狭窄症,也可能表明先天的十二指肠网. 这种罕见的呈现突显了对近壁肠道阻塞的全面诊断成像的重要性.
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
- 医疗成像医学成像
背景情况:
- 一个可触摸的胃上橄质量是婴儿过度缩小的胆道狭窄症 (HPS) 的经典症状.
- 患有投射性胆汁吐的婴儿需要立即评估近道胃肠道阻塞.
- 先天性十二指肠网 (CDW) 是新生儿肠道阻塞的罕见原因.
研究的目的:
- 报告一种罕见的先天性十二指肠网,呈现为可触摸的橄质.
- 强调诊断挑战和成像模式,以区分CDW和HPS.
- 突出粉发现在诊断近接肠道阻塞中的重要性.
主要方法:
- 一个3个月大的婴儿的病例报告,有弹射,胆汁吐.
- 通过腹部超声波初步排除HPS.
- 使用粉进行诊断成像,以确定阻塞的原因.
- 手术检查和确认先天性十二指肠网.
主要成果:
- 腹部超声检查排除了多变性胆道狭窄症.
- 粉揭示了胃部大规模膨胀,远端气体不存在,以及三重泡标志,表明近端阻塞.
- 紧急探索性腹腔切除术证实了先天的十二指管网.
- 通常与HPS相关联的可触摸的橄质量是呈现标志.
结论:
- 先天性十二指腺网可以模仿过度缩的胆管狭窄症,包括有形的橄质量的存在.
- 在怀疑但未证实HPS时,粉对于诊断先天十二指肠网至关重要.
- 这一案例代表了CDW引起的近端肠道阻塞的独特表现.
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