Cystic Form of Duodenal Dystrophy (Clinical Case)
Aim: the reason for the publication was the rare occurrence, as well as the non-specificity of symptoms of the cystic form of duodenal dystrophy. The listed features of this disease lead to difficulties in its differential diagnosis and the choice of the optimal method of treatment.General statement...
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Gastro LLC
2023-08-01
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Series: | Российский журнал гастроэнтерологии, гепатологии, колопроктологии |
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Online Access: | https://www.gastro-j.ru/jour/article/view/744 |
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author | D. E. Okonskaya Kh. H. Ayvazyan Yu. A. Stepanova A. V. Zhao E. A. Sokolova |
author_facet | D. E. Okonskaya Kh. H. Ayvazyan Yu. A. Stepanova A. V. Zhao E. A. Sokolova |
author_sort | D. E. Okonskaya |
collection | DOAJ |
description | Aim: the reason for the publication was the rare occurrence, as well as the non-specificity of symptoms of the cystic form of duodenal dystrophy. The listed features of this disease lead to difficulties in its differential diagnosis and the choice of the optimal method of treatment.General statements. The report is devoted to the description of a case of successful treatment of a cystic form of duodenal dystrophy — a chronic inflammation of the pancreatic tissue, ectopic in the wall of the duodenum. A 47-year-old patient was admitted to the clinic with complaints of persistent abdominal pain, periodic vomiting, general weakness, weight loss of 20 kg in three months. With the help of computed tomography, the diagnosis was established, the tumor process was rejected, and chronic pancreatitis was detected in the orthotopic pancreas. Due to the presence of changes in the main pancreas, the patient underwent pancreatoduodenal resection. The features of the operation were pronounced infiltrative changes and pronounced vitreous tissue edema, which made it difficult to mobilize the hepatic flexure of the colon and duodenum.Conclusion. Pancreatoduodenal resection is the optimal surgical intervention for the combination of cystic form of duodenal dystrophy with sub-/decompensated duodenal stenosis. |
format | Article |
id | doaj-art-d739dd8182bb48d8a3e6a25a7b1ad662 |
institution | Kabale University |
issn | 1382-4376 2658-6673 |
language | Russian |
publishDate | 2023-08-01 |
publisher | Gastro LLC |
record_format | Article |
series | Российский журнал гастроэнтерологии, гепатологии, колопроктологии |
spelling | doaj-art-d739dd8182bb48d8a3e6a25a7b1ad6622025-02-10T16:14:38ZrusGastro LLCРоссийский журнал гастроэнтерологии, гепатологии, колопроктологии1382-43762658-66732023-08-013329510410.22416/1382-4376-2023-33-2-95-104539Cystic Form of Duodenal Dystrophy (Clinical Case)D. E. Okonskaya0Kh. H. Ayvazyan1Yu. A. Stepanova2A. V. Zhao3E. A. Sokolova4A.V. Vishnevsky National Medical Research Center of SurgeryA.V. Vishnevsky National Medical Research Center of SurgeryA.V. Vishnevsky National Medical Research Center of SurgeryJSC “European Medical Center”A.V. Vishnevsky National Medical Research Center of SurgeryAim: the reason for the publication was the rare occurrence, as well as the non-specificity of symptoms of the cystic form of duodenal dystrophy. The listed features of this disease lead to difficulties in its differential diagnosis and the choice of the optimal method of treatment.General statements. The report is devoted to the description of a case of successful treatment of a cystic form of duodenal dystrophy — a chronic inflammation of the pancreatic tissue, ectopic in the wall of the duodenum. A 47-year-old patient was admitted to the clinic with complaints of persistent abdominal pain, periodic vomiting, general weakness, weight loss of 20 kg in three months. With the help of computed tomography, the diagnosis was established, the tumor process was rejected, and chronic pancreatitis was detected in the orthotopic pancreas. Due to the presence of changes in the main pancreas, the patient underwent pancreatoduodenal resection. The features of the operation were pronounced infiltrative changes and pronounced vitreous tissue edema, which made it difficult to mobilize the hepatic flexure of the colon and duodenum.Conclusion. Pancreatoduodenal resection is the optimal surgical intervention for the combination of cystic form of duodenal dystrophy with sub-/decompensated duodenal stenosis.https://www.gastro-j.ru/jour/article/view/744chronic pancreatitisduodenal dystrophypancreatic ectopiapancreatoduodenal resection |
spellingShingle | D. E. Okonskaya Kh. H. Ayvazyan Yu. A. Stepanova A. V. Zhao E. A. Sokolova Cystic Form of Duodenal Dystrophy (Clinical Case) Российский журнал гастроэнтерологии, гепатологии, колопроктологии chronic pancreatitis duodenal dystrophy pancreatic ectopia pancreatoduodenal resection |
title | Cystic Form of Duodenal Dystrophy (Clinical Case) |
title_full | Cystic Form of Duodenal Dystrophy (Clinical Case) |
title_fullStr | Cystic Form of Duodenal Dystrophy (Clinical Case) |
title_full_unstemmed | Cystic Form of Duodenal Dystrophy (Clinical Case) |
title_short | Cystic Form of Duodenal Dystrophy (Clinical Case) |
title_sort | cystic form of duodenal dystrophy clinical case |
topic | chronic pancreatitis duodenal dystrophy pancreatic ectopia pancreatoduodenal resection |
url | https://www.gastro-j.ru/jour/article/view/744 |
work_keys_str_mv | AT deokonskaya cysticformofduodenaldystrophyclinicalcase AT khhayvazyan cysticformofduodenaldystrophyclinicalcase AT yuastepanova cysticformofduodenaldystrophyclinicalcase AT avzhao cysticformofduodenaldystrophyclinicalcase AT easokolova cysticformofduodenaldystrophyclinicalcase |