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中华腔镜泌尿外科杂志(电子版) ›› 2020, Vol. 14 ›› Issue (06) : 466 -468. doi: 10.3877/cma.j.issn.1674-3253.2020.06.015

所属专题: 经典病例 经典病例 文献

病例研究

腹膜后肠道重复畸形一例报告并文献复习
刘豪圣1, 方建雄1, 刘天琦1, 张振辉1, 刘久敏1,(), 蒲小勇1,()   
  1. 1. 510080 广州,华南理工大学附属广东省人民医院(广东省医学科学院)泌尿外科
  • 收稿日期:2020-01-08 出版日期:2020-12-01
  • 通信作者: 刘久敏, 蒲小勇

Retroperitoneal intestinal duplication: a case report and literature review

Haosheng Liu1, Jianxiong Fang1, Tianqi Liu1, Zhenhui Zhang1, Jiumin Liu1,(), Xiaoyong Pu1()   

  1. 1. Department of Urology, Guangdong Provincial People’s Hospital, Guangdong Academy of Medical Sciences, School of Medicine, South China University of Technology, Guangzhou 510080, China
  • Received:2020-01-08 Published:2020-12-01
  • Corresponding author: Jiumin Liu, Xiaoyong Pu
  • About author:
    Corresponding author: Liu Jiumin, Email:
引用本文:

刘豪圣, 方建雄, 刘天琦, 张振辉, 刘久敏, 蒲小勇. 腹膜后肠道重复畸形一例报告并文献复习[J]. 中华腔镜泌尿外科杂志(电子版), 2020, 14(06): 466-468.

Haosheng Liu, Jianxiong Fang, Tianqi Liu, Zhenhui Zhang, Jiumin Liu, Xiaoyong Pu. Retroperitoneal intestinal duplication: a case report and literature review[J]. Chinese Journal of Endourology(Electronic Edition), 2020, 14(06): 466-468.

目的

探讨肠道重复畸形的基本情况、病理与临床特点、诊断和治疗效果。

方法

收集2016年9月份广东省人民医院泌尿外科收治的1例30岁男性患者资料,患者因"发现左侧肾上腺肿物1个月"入院,术前增强CT提示腹膜后左侧肾上腺区见圆形囊性低密度肿块,考虑左侧肾上腺囊性占位,良性,囊肿可能性大。完善检查后在我科行后腹腔镜下左侧肾上腺肿物切除术,术中冰冻病理检查提示囊性病变,未见恶性证据。

结果

术后结合病理诊断为腹膜后肠道重复畸形,患者恢复良好,目前仍在随访当中。

结论

腹膜后肠道重复畸形临床上罕见,临床表现不典型,影像学、实验室检查多无特异性,临床工作中易发生误诊,最终需病理明确诊断,手术完整切除为最佳治疗方式。

Objective

To explore the basic information, pathology and clinical characteristics, diagnosis and efficacy of treatment.

Methods

The data of a 30-year-old man were analyzed at the Department of Urology of Guangdong Provicial People’s Hospital with an unexpected discovery of the left adrenal mass 1 month ago. The preoperative enhanced CT showed: in the left adrenal region, a round cystic low density mass was found, which was considered to be a left adrenal cystic mass. Retroperitoneal laparoscopic resection of the left adrenal gland tumor was performed for this patient, and intraoperative frozen examination showed that it was cystic lesions, which got no evidence of malignancy.

Results

The intestinal duplication cyst was diagnozed after operation by pathology and clinical features. The patients recovered very well, and was followed, treatment associated with the best long-term outcomes.

Conclusion

Retroperitoneal intestinal duplication is rare in clinical, It has atypical clinical manifestation and not specific in imaging and laboratory examinations. Therefore, it is easy to be misdiagnosed in clinical practice. The clinical pathological diagnosis will be helpful, and surgical resection is the best treatment.

图3 术后CT示肾上腺囊肿术后改变,囊壁塌陷,囊腔消失
[1]
Danys D, Martinaityte R, Zaeharic J, et a1. Enterogenous cyst of the small bowel mesentery:a case report and review of the literature[J]. Acta Chir Belg, 2019, 119(1): 52-55.
[2]
Stern LE, Warner BW. Gastrointestinal duplications[J]. Semin Pediatr Surg, 2000, 9(3):135-140.
[3]
Hata H, Hiraoka N, Ojima H, et al. Carcinoid tumor arising in a duplication cyst of the duodenum[J]. Pathol Int, 2006, 56(5): 272-278.
[4]
Puligandla PS, Nguyen LT, St-Vil D, et al. Gastrointestinal duplications[J]. J Pediatr Surg, 2003, 38(5): 740-744.
[5]
Rattan KN, Bansal S, Dhamija A. Gastrointestinal duplication presenting as neonatal intestinal obstruction: An experience of 15 years at tertiary care centre[J]. J Neonat Surg, 2017, 6(1):5.
[6]
Chen CC, Yeh DC, Wu CC, et al. Huge cystic duplication of the ascending colon in adult[J]. Zhonghua YiXue ZaZhi (Taipei), 2001, 64(3): 174-178.
[7]
Keramidas DC, Demetriades DM. Total tubular duplication of the colon and distal ileum combined with transmesenteric hernia: surgical management and long-term-results[J]. Eur J Pediatr Surg, 1996, 6(4): 243-244.
[8]
Holcomb GW, Gheissari A, O'Neill JA, et al. Surgical management of alimentary tract duplications[J]. Ann Surg, 1989, 209(2):167-174.
[9]
中山医科大学病理教研室. 外科病理学:第二版[M]. 武汉:同济医科大学, 1999: 317-318.
[10]
岳盛琳, 方静宜, 罗麟, 等.中枢神经系统肠源性囊肿的形态及免疫组化研究[J]. 中华神经外科杂志, 1998(03): 3-5.
[11]
Ricciardolo AA, Iaquinta T, Tarantini A, et al. A rare case of acute abdomen in the adult: The intestinal duplication cyst. case report and review of the literature[J]. Ann Med Surg (Lond), 2019, 40: 18-21.
[12]
Xiang L, Lan J, Chen B, et al. Clinical characteristics of gastrointestinal tract duplications in children: A single-institution series review[J]. Medicine (Baltimore), 2019, 98(44): e17682.
[13]
刘卫平, 章翔, 费舟, 等. 脊髓肠源性囊肿的显微外科手术治疗[J].中华神经外科疾病研究杂志, 2004, 3(2): 111-113.
[14]
王先福,董米连,郑海红, 等.腹腔内先天性肠源性囊肿1例[J].医学信息(中旬刊), 2010, 5(1): 119-120.
[15]
李正, 王慧贞, 吉士俊. 实用小儿外科上册[M]. 北京: 人民卫生出版社, 2001: 712-715.
[16]
刘垚, 李龙, 侯文英. 小儿胃肠重复畸形19例诊治经验[J]. 中华小儿外科杂志, 2012, 33(10): 794-795.
[17]
Lin SL, Lo YS, Yu CC, et al. Retroperitoneal enteric duplication cyst[J]. J Chin Med Assoc,2004, 67(9): 479-482.
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