新生儿环状胰腺伴梅克尔憩室和拉德带

H. Kim
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引用次数: 0

摘要

环状胰腺是一种罕见的先天性畸形,由围绕在十二指肠下降部分的胰腺组织组成,并引起肠梗阻。这是由腹侧胰腺芽旋转不完全引起的。在儿童中,环状胰腺也与21三体和其他先天性疾病(如梅克尔憩室、肠道或心脏畸形)有关。在此,我们报告一例罕见的环状胰腺伴梅克尔憩室的病例,该病例由一位8天大的女孩腹部探查发现,她患有抛射性胆汁性呕吐。腹部平片示双泡征,胃和十二指肠内有空气,上消化道示十二指肠近端扩张,部分下行十二指肠梗阻。检查显示环状胰腺、梅克尔憩室和拉德带,未见大肠旋转不良。随后,患者进食良好,于住院第27日出院。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Annular Pancreas with Meckel’s Diverticulum and Ladd’s Band in Neonate
Annular pancreas is a rare congenital malformation consisting of pancreatic tissue surrounding the descending portion of the duodenum and induces intestinal obstruction. This is caused by incomplete rotation of the ventral pancreatic bud. In children, the annular pancreas is also associated with trisomy 21 and other congenital diseases such as Meckel’s diverticulum, intestinal, or cardiac malformations. Here we presented a rare case of the annular pancreas with Meckel’s diverticulum identified by the abdominal exploration of an 8-day-old girl who suffered from projectile bilious vomiting. A plain abdominal radiograph showed a ‘double-bubble sign’ with air in the stomach and duodenum, and the upper gastrointestinal series showed a dilated proximal duodenum, with partial obstruction of the descending duodenum. The exploration revealed an annular pancreas, Meckel’s diverticulum, and Ladd’s band without large bowel malrotation. Subsequently, she ate well and was discharged on the 27th hospital day.
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