Duodenal intussusception due to periampullary duodenal adenoma: A case report

S. Chawla, Aditya Charan, A. Joshi, Dharamveer Sihag
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Abstract

Duodenal intussusceptions are uncommon due to their fixed location in retroperitoneum except when associated with bowel malrotation abnormalities. We present a case of recurrent duodenojejunal intussusception in a 34-year-old female diagnosed on imaging. The lead point, in our case, was periampullary duodenal tubulovillous adenoma which was confirmed on endoscopy and subsequent punch biopsy. The patient underwent segmental duodenal resection anastomosis preserving the ampulla with reduction of the intussuceptum and fixation of the jejunal loops and its mesentery.
壶腹周围十二指肠腺瘤致十二指肠肠套叠1例
由于十二指肠肠套叠的位置固定在腹膜后,所以不常见,除非伴有肠旋转不良异常。我们报告一例复发性十二指肠空肠肠套叠的病例,34岁女性,经影像学诊断。在我们的病例中,主要点是壶腹周围十二指肠管状绒毛腺瘤,经内窥镜检查和随后的穿刺活检证实。患者行节段性十二指肠切除吻合术,保留壶腹,缩小肠套,固定空肠袢及其肠系膜。
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