侧面双胞胎椎炎模仿右侧膜收藏:一个病例报告
Mahmoud Raheem Heidous1, Devendra Kumar1, Ahmed Hadi1
1Clinical Imaging Department, Al Wakra Hospital, Hamad Medical Corporation, Al Wakrah, QAT.
Cureus
|February 16, 2026
概括
巨大的十二指管分流器很少见,但可以模仿严重的疾病. 多式成像对于准确诊断至关重要,防止不必要的手术,并指导对这些十二指甲状腺异常的保守管理.
科学领域:
- 胃肠病学 胃肠病学
- 放射学 放射学是一门学科.
- 手术病理学手术病理学
背景情况:
- 巨大的十二指管分泌管是不常见的,通常是无症状的发现.
- 它们可以呈现出不典型的症状,模仿腹腔内收集,,或囊性瘤.
- 错误诊断可能导致不适当的侵入性干预.
研究的目的:
- 报告一个巨大的十二指甲突呈现为腹的病例.
- 强调多式成像在准确诊断中的作用.
- 强调避免不必要的侵入性手术的重要性.
主要方法:
- 一个67岁的男性有反复的腹部症状的病例报告.
- 最初的诊断是肌炎,后来修订为逆腹.
- 多式成像包括对比增强计算机断层扫描 (CECT) 与口腔对比和超声检查.
主要成果:
- 脑电图和超声波显示出一个与十二指肠沟通的巨大的十二指肠分离体.
- 精确的成像解释修订了从腹到的诊断.
- 开始使用抗生素进行保守的治疗,导致临床改善.
结论:
- 巨型十二指管分泌管需要仔细的诊断考虑,因为它们有可能模仿其他病理.
- 多模式成像相关性对于准确的诊断和预防阳性并发症至关重要.
- 保守的管理通常是适当的,避免不必要的侵入性程序,如皮肤通道排水.
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