关键词: Congenital disorders Paediatric Surgery Pediatrics Small intestine

Mesh : Humans Male Infant Intestinal Volvulus / surgery diagnosis Intestine, Small / abnormalities surgery pathology Cysts / surgery Laparotomy / methods Digestive System Abnormalities / surgery complications diagnostic imaging

来  源:   DOI:10.1136/bcr-2024-260793

Abstract:
Enteric duplication has cystic and tubular varieties. A male infant presented with a large cystic, well-demarcated mass in the right flank. On exploratory laparotomy, multiple cystic and tubular lesions were present adjacent to the mesenteric border of the small bowel along with malrotation of the small bowel. The tubule-cystic structure was excised along with the involved normal bowel segment and Ladd\'s procedure was performed. Histopathological evaluation revealed an intestinal duplication cyst. The occurrence of midgut malrotation and volvulus along with duplication is uncommon. The cyst\'s substantial size could have been an aetiological factor for malrotation and volvulus. The child\'s small bowel had adapted remarkably with time. This case highlights a new variant of duplication cysts.
摘要:
肠复制有囊性和管状品种。一个男性婴儿出现了一个大的囊性,在右侧有界限分明的质量。在剖腹探查术中,小肠肠系膜边界附近存在多个囊性和管状病变,并伴有小肠旋转不良。将小管囊性结构与受累的正常肠段一起切除,并进行Ladd的手术。组织病理学评估显示肠重复囊肿。中肠旋转不良和扭转以及重复的发生很少见。囊肿的巨大大小可能是旋转不良和肠扭转的病因。随着时间的推移,孩子的小肠已经明显适应。此病例突出了重复囊肿的新变体。
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