Adult duodenal intussusception associated with congenital malrotation

查看全文 作　　者：J Gardner-[1]Thorpe;RH [2]Hardwick;NR [3]Carroll;P [1]Gibbs;NV [1]Jamieson;RK [1]Praseedom

机构地区：[1]Cambridge Surgical HPB Unit,Addenbrooke's Hospital,Hills Rd,Cambridge,CB2 2QQ,United Kingdom;[2]Cambridge Oesophago-gastric Centre,Addenbrooke's Hospital,Hills Rd,Cambridge,CB2 2QQ,United Kingdom;[3]Department of Radiology,Addenbrooke's Hospital,Hills Rd,Cambridge,CB2 2QQ,United Kingdom

出　　处：《World Journal of Gastroenterology》索引2007年第13卷第28期,共3页

摘　　要：Enteroenteric intussusception is a condition in which full-thickness bowel wall becomes telescoped into the lumen of distal bowel. In adults, there is usually an abnormality acting as a lead point, usually a Meckels' diverticulum, a hamartoma or a tumour. Duodeno-duodenal intussusception is exceptionally rare because the retroperitoneal situation fixes the duodenal wall. The aim of this report is to describe the first published case of this condition. A patient with duodeno-duodenal intussusception secondary to an ampullary lesion is reported. A 66 year-old lady presented with intermittent abdominal pain, weight loss and anaemia. Ultrasound scanning showed dilated bile and pancreatic ducts. CT scanning revealed intussusception involving the full-thickness duodenal wall. The lead point was an ampullary villous adenoma. Congenital partial (type Ⅱ) malrotation was found at operation and this abnormality permitted excessive mobility of the duodenal wall such that intussusception was possible. This condition can be diagnosed using enhanced CT. Intussusception can be complicated by bowel obstruction, ischaemia or bleeding, and therefore the underlying cause should be treated as soon as possible. 关键词：十二指肠疾病肠套叠十二指肠切除术腹部外科

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Adult duodenal intussusception associated with congenital malrotation

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