Notching or stricture of the duodenum

Introduction Retroperitoneal lymphadenitis, abdominal pain can be intermittent, and anti-infective or anti-tuberculosis and antispasmodic treatment is often not effective. It has been reported that the proximal ureter and kidney are compressed or displaced, pyloric obstruction, stiffness of the stomach wall, duplication or stenosis of the duodenum, enlargement of the duodenum and transverse colon displacement. Tuberculosis can invade the posterior peritoneal lymph nodes, which can be used as a local component of the primary syndrome, or as a result of widespread dissemination of tuberculosis. The affected lymph nodes can be treated in asymptomatic conditions and finally calcified. Some lymph nodes are swollen, experiencing dry necrosis and even forming abscesses.

Cause

Tuberculosis can invade the posterior peritoneal lymph nodes, which can be used as a local component of the primary syndrome, or as a result of widespread dissemination of tuberculosis. The affected lymph nodes can be treated in asymptomatic conditions and finally calcified. Some lymph nodes are swollen, experiencing dry necrosis and even forming abscesses.

an examination

Related inspection

Laparoscopic gastroscopy

Symptoms are vague or even lacking. The main symptoms are persistent or paroxysmal pain or pain in the abdomen, accompanied by low fever, nausea, vomiting, bloating, loss of appetite, etc. The abdominal pain of this disease may be intermittent.

Differential diagnosis

Differential diagnosis of the duodenum with a notch or stenosis:

1, acute retroperitoneal lymphadenitis: mostly with high fever and chills as the main symptoms, accompanied by abdominal pain, abdominal distension, low back pain, nausea, vomiting, etc., body temperature can reach 39 ~ 40 ° C, showing relaxation or heat, check abdominal tenderness Rebounding pain, but muscle tension is not obvious. In severe cases, there may be signs of intestinal paralysis, pain in the back and back, and white blood cells may increase.

2, chronic or tuberculous retroperitoneal lymphadenitis: tuberculosis can invade the peritoneal lymph nodes, he can be used as one of the local components of the primary syndrome, or a widespread dissemination of tuberculosis. The affected lymph nodes can be treated in asymptomatic conditions and finally calcified. Some lymph nodes are swollen, experiencing dry necrosis and even forming abscesses. The onset of the disease is more insidious, and the symptoms are vague or even lacking. The main symptoms are persistent or paroxysmal pain or pain in the abdomen, accompanied by low fever, nausea, vomiting, bloating, loss of appetite, etc. The abdominal pain of this disease may be intermittent, anti-infective or anti-tuberculosis and antispasmodic and other therapeutic effects. Often it doesn't work well. It has been reported that the proximal ureter and kidney are compressed or displaced, pyloric obstruction, stiffness of the stomach wall, duplication or stenosis of the duodenum, enlargement of the duodenum and transverse colon displacement. Uncommon manifestations include leg swelling, chyle-like ascites, portal hypertension, biliary obstruction, and fistula formation. Check the abdomen can touch the mass or the limitation is full, deep tenderness, no abdominal muscle tension, and active bowel sounds.

3. Duodenal ulcer: Duodenal ulcer is a common disease of the digestive tract. It is generally believed that the cerebral cortex is exposed to external irritations, causing paralysis of the blood vessels and muscles in the stomach and duodenum. Intestinal wall cell dystrophies and gastrointestinal mucosal resistance are reduced, causing the gastrointestinal mucosa to be easily digested by gastric juice to form ulcers. It is currently believed to be caused by Campylobacter pneumoniae infection, which is often single, but also has multiple ulcers. Gastric and duodenal ulcers, when present, are called complex ulcers.

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