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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Main Authors: D. E. Okonskaya, Kh. H. Ayvazyan, Yu. A. Stepanova, A. V. Zhao, E. A. Sokolova
Format: Article
Language:Russian
Published: Gastro LLC 2023-08-01
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
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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