ABSTRACT
Las duplicaciones intestinales duodenales son entidades raras, principalmente se presentan en la primerao segunda porción, siendo prácticamente excepcionalsu localización a nivel piloroduodenal, con menos dediez casos descritos en la literatura.Presentamos el caso de una neonata que a las 48 horas de vida manifestó un cuadro de obstrucción intestinal alta que requirió realizar una laparotomía exploradora, observándose un quiste piloroduodenal, que fueresecado en la intervención.Se trata de una entidad congénita extremadamenterara, los signos y síntomas son un desafío y el objetivoquirúrgico debe ser la exéresis completa. Si la reseccióntotal origina compromiso de los órganos adyacentes, laexéresis parcial con mucosectomía es una alternativaválida para evitar las complicaciones de una cirugíamás agresiva.(AU)
Intestinal duplications located in the duodenum arerare conditions that generally affect the first or secondduodenal portion. It is extremely unusual for this condition to be located in the pyloroduodenal area, accounting for less than ten documented cases.This research presents a case of a female newbornwho showed on the second day of life signs of upperintestinal obstruction which required exploratory laparotomy. The surgery revealed a pyloroduodenal cystthat was successfully excised.This is an extremely rare congenital anomaly thatencompasses challenging symptoms and signs, and thepurpose of the surgery should be the complete resection of the lesion. If the complete excision endangersthe surrounding organs, partial resection through mucosectomy is a valid alternative to prevent the complications of more invasive surgery.(AU)
Subject(s)
Humans , Female , Infant, Newborn , Inpatients , Physical Examination , Cysts , Intestinal Obstruction/surgery , Laparotomy , Neonatology , General SurgeryABSTRACT
Intestinal duplications located in the duodenum are rare conditions that generally affect the first or second duodenal portion. It is extremely unusual for this condition to be located in the pyloroduodenal area, accounting for less than ten documented cases. This research presents a case of a female newborn who showed on the second day of life signs of upper intestinal obstruction which required exploratory laparotomy. The surgery revealed a pyloroduodenal cyst that was successfully excised. This is an extremely rare congenital anomaly that encompasses challenging symptoms and signs, and the purpose of the surgery should be the complete resection of the lesion. If the complete excision endangers the surrounding organs, partial resection through mucosectomy is a valid alternative to prevent the complications of more invasive surgery.
