Intestinal duplication diagnosed preoperatively with double-balloon enteroscopy: an extremely rare case report and literature review
Intestinal duplication diagnosed preoperatively with double-balloon enteroscopy: an extremely rare case report and literature review
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双气囊小肠镜术前诊断重复肠：极其罕见的病例报告及文献复习
DOI：
10.1007/s12328-022-01596-7
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发表时间：
2022
影响因子：
1
通讯作者：
Kameya
中科院分区：
文献类型：
--
作者：
Niwa Yusuke;Tominaga Kentaro;Kawata Yuzo;Kobayashi Takamasa;Mizuwasa Takeshi;Takahashi Kazuya;Sato Hiroki;Kohisa Junji;Abe Satoshi;Kamimura Kenya;Yokoyama Junji;Kawai Hirokazu;Sugino Hideaki;Umezu Hajime;Hirai Yumiko;Nakano Masato;Shimada Yoshifumi;Kameya
胃肠道重复是先天性畸形，通常观察到的儿科患者。成年期的诊断是相当罕见的，术前诊断胃肠道重复是困难的，特别是在小肠。我们遇到了一个极其罕见的成人病例的重复空肠，它显示胃样形式诊断使用双气囊肠镜（DBE）。患者男，18岁，3年来无任何诱因反复出现上腹部疼痛和呕吐。进行了各种检查，但没有发现症状的原因。DBE显示空肠上部管腔狭窄开口，管腔被类似胃的粘膜褶皱覆盖。DBE肠系膜造影显示空肠肠系膜侧呈管状结构。我们诊断为空肠小管重复伴胃粘膜异位，并行部分小肠切除术。病人腹部症状消失。由此可见，DBE可作为诊断成人肠道重复的有用工具。我们相信本病例和文献复习将有助于小肠重复的准确和及时诊断。
Gastrointestinal duplications are congenital malformations that are usually observed in pediatric patients. Diagnosis in adulthood is quite rare, and preoperative diagnosis of gastrointestinal duplication is difficult, particularly in the small intestine. We encountered an extremely rare adult case of duplication of the jejunum, which showed a stomach-like form diagnosed using double-balloon enteroscopy (DBE). The patient was an 18-year-old male who had been experiencing upper abdominal pain and vomiting repeatedly without any triggers for 3 years. Various examinations were performed, but no cause of symptoms was found. DBE revealed a narrow opening of the lumen at the upper jejunum, and the lumen was covered with mucosal folds similar to those of the stomach. Enteroclysis via DBE showed a tubular structure on the mesenteric side of the jejunum. We diagnosed a jejunal tubular duplication with ectopic gastric mucosa and underwent partial small bowel resection. The patient’s abdominal symptoms resolved. From this, DBE can be a useful tool for diagnosing intestinal duplication in adults. We believe that this case and literature review will facilitate the accurate and prompt diagnosis of small intestinal duplication.
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在罕见的成年腹膜复制案例中，逆行双球肠镜检查的独特发现。
影响因子：
0.7
作者：
Endo K;Nihei K;Murakami K;Satoh K
通讯作者：
Satoh K
影响因子：
2.6
作者：
Takegawa Y;Hiramatsu K;Murata Y;Akazawa Y;Saito Y;Ozaki Y;Takahashi K;Naito T;Ofuji K;Matsuda H;Ohtani M;Nemoto T;Suto H;Goi T;Imamura Y;Nakamoto Y
通讯作者：
Nakamoto Y
双气囊小肠镜诊断回肠重复并行腹腔镜切除术一例
DOI：
10.3919/jjsa.74.1895
发表时间：
2013
期刊：
影响因子：
--
作者：
T. Matsuyama;H. Kobayashi;T. Ishikawa;K. Sugihara
通讯作者：
K. Sugihara
DOI：
10.1111/j.1445-2197.1973.tb06818.x
发表时间：
1973-01-01
期刊：
AUSTRALIAN AND NEW ZEALAND JOURNAL OF SURGERY
影响因子：
--
作者：
NIESCHE, JW
通讯作者：
NIESCHE, JW
影响因子：
2
作者：
Fiorani, Cristina;Scaramuzzo, Rosa;Sica, Giuseppe
通讯作者：
Sica, Giuseppe