在幼儿时代出现间歇性十二指肠阻塞的年:一个诊断伪装
Maria Rogalidou1, Georgios Papagiannis2, Paraskevi Galina3
1Division of Gastroenterology & Hepatology, First Department of Paediatrics, 'Agia Sophia' Children's Hospital, National and Kapodistrian University of Athens, 11527 Athens, Greece.
Reports (MDPI)
|January 21, 2026
概括
环状胰腺是一种罕见的先天性异常,会导致十二指肠阻塞,在儿童中可以异常呈现. 早期诊断和手术绕道对于症状缓解和健康发育至关重要.
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
- 遗传异常是一种先天性异常.
背景情况:
- 环状胰腺是一种罕见的先天性异常,导致十二指肠阻塞.
- 临床表现各不相同,往往导致儿童的诊断延迟.
- 不典型的症状,如反复吐,但没有壮成长的失败,可以掩盖这种情况.
研究的目的:
- 突出儿童环状胰腺的诊断挑战与非典型的呈现.
- 强调多式成像在诊断环状胰腺中的重要性.
- 为了强调外科手术对环状胰腺的有效性.
主要方法:
- 一个2岁女孩的病例报告,她经常吐.
- 使用初始成像,内镜和对比度增强的CT.
- 通过双胞胎-双胞胎口术进行手术干预.
主要成果:
- 诊断出环状胰腺导致部分十二指肠阻塞.
- 成功的外科绕道术 (双胞胎-双胞胎口术) 导致症状完全消失.
- 观察到无事件的术后恢复和正常生长.
结论:
- 儿童持续吐需要考虑环状胰腺,即使没有经典症状.
- 早期识别和手术治疗可以预防长期的发病率.
- 手术绕道为环状胰腺提供了优秀的长期结果.
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