Diagnosis and treatment of duodenal duplication in children
10.3760/cma.j.cn113855-20240625-00441
- VernacularTitle:儿童十二指肠重复畸形的诊断与治疗
- Author:
Qiangxing XIANG
1
;
Yong LI
1
;
Denghui LIU
1
;
Ming LI
1
;
Xianglian TANG
1
Author Information
1. 中南大学湘雅医学院附属儿童医院（湖南省儿童医院）普外科，长沙 410007
- Publication Type:Journal Article
- Keywords:
Digestive system abnormalities;
Duodenum;
Child
- From:
Chinese Journal of General Surgery
2025;40(1):47-50
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical characteristics, diagnosis and treatment of duodenal duplication in children.Methods:From Jan 2017 to Jun 2023, clinical data of 8 child patients complaining nonspecific intraabdominal symptoms at Department of General Surgery, Hu'nan Children's Hospital undering surgery were retrospectively analyzed.Results:Five patients had duodenal duplication resected, 3 patients underwent fenestration and mucous membraine removel.Postoperative pathology showed cyst type in 6 cases, tubular type in 2 cases,all with lining of intestinal mucosa, and smooth muscle, including 1 case with ectopic pancreas tissues, 2 cases with ectopic gastric mucosa tissues. Postoperative follow-up were 10-48 months. During the follow-up period, there was no abdominal pain, vomiting, abdominal distension, and other symptoms, and the children recovered well.Conclusions:The clinical manifestations of duodenal duplication are no specific. Definite diagnosis depends on pathology. Duodenal duplication resection or fenestration plus mucosal stripping is the treatment of choice. The prognosis is good.
