临床外科杂志 ›› 2026, Vol. 34 ›› Issue (7): 831-833.doi: 10.3969/j.issn.1005-6483.20250721

• 临床病例报道 • 上一篇    下一篇

大龄肠重复畸形二例

张雪珂,解举民,万淑琼   

  1. 430065 湖北武汉,武汉科技大学医学部医学院(张雪珂);肾脏疾病发生与干预湖北省重点实验室(解举民,万淑琼);黄石市中心医院(湖北理工学院附属医院)妇科(万淑琼)
  • 收稿日期:2025-07-14 出版日期:2026-07-20 发布日期:2026-07-20
  • 通讯作者: 万淑琼,Email:350597049@qq.com
  • 作者简介:万淑琼,Email:350597049@qq.com
  • 基金资助:
    湖北省自然科学基金(2024AFD027),湖北省中央引导地方科技发展专项(2022BCE054),湖北理工学院科研重点项目(23xjz08A),湖北理工学院·黄石大冶湖高新区大学科技园联合开放基金立项项目(23xjz04AK)

Two cases of intestinal duplication malformations in the elderly

ZHANG Xueke, XIE Juming, WAN Shuqiong   

  1. *School of Medicine, Wuhan University of Science and Technology, Wuhan 430065, China
  • Received:2025-07-14 Online:2026-07-20 Published:2026-07-20

摘要: 本组2例肠重复畸成人病人均未表现出典型的临床症状。其中1例因腹痛就诊,腹部计算机断层扫描(CT)检查发现盆腔占位性病变,术前未能明确诊断,最终通过术中探查确诊为肠重复畸形;另1例病人因子宫及双侧附件B型超声检查(B超)发现子宫上方囊性包块,后经盆腔磁共振 (MRI)检查考虑为肠重复畸形,最终通过术中探查确诊为肠重复畸形。2例病人均接受手术治疗并顺利康复出院。肠重复畸形是一种罕见的先天性消化道畸形,其诊疗主要集中在儿童期。成人病例不仅少见,且临床表现复杂多样、缺乏特异性。目前,CT和B超是主要的术前诊断手段,但准确率仍不理想。外科手术切除是确诊后的首选治疗方式。

关键词: 肠重复畸形, 先天性畸形, 手术治疗, 病例报告

Abstract: Two adult patients with intestinal duplication malformation admitted in the group did not show typical clinical symptoms.One of the patients was diagnosed with abdominal pain and was found to have pelvic space-occupying lesions by abdominal Computed Tomography, which could not be clearly diagnosed before surgery, and was finally diagnosed as intestinal duplication malformation by intraoperative exploration; the other patient was diagnosed with duplication of bowel after B-mode Ultrasonography of the uterus and bilateral adnexa revealed a cystic mass above the uterus, which was then considered as duplication of bowel by Magnetic Resonance Imaging of the pelvis and finally diagnosed with duplication of bowel by intraoperative exploration.Both patients underwent surgical treatments and recovered from the hospital successfully.Eventually Intestinal duplication malformation is a rare congenital malformation of the digestive tract, the treatment of which is mainly concentrated in childhood.Adult cases are not only rare, but also have complex clinical manifestations and lack of specificity.Currently, Computed Tomography and B-mode ultrasonography are the main preoperative diagnostic tools, but the accuracy is still unsatisfactory.Surgical resection is the treatment of choice after diagnosis.

Key words: intestinal duplication, congenital malformation, surgical treatment, case report

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