Report of a rare case and review of adult intestinal duplication at the opposite side of mesenteric margin

Huang, Zhihao; Wan, Zhongmin; Vikash, Vikash; Vikash, Sindhu; Jiang, Congqing

doi:10.1590/1516-3180.2017.0184030817

Cited by 8 publications

(12 citation statements)

References 27 publications

(24 reference statements)

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“…We retrieved the literature on adult intussusception caused by intestinal duplication from PubMed, and the publications are listed in Table 2 . The differences between intestinal duplication and Meckel’s diverticulum are as follows: (1) Intestinal duplication shares a blood supply with the surrounding intestine, while diverticulum has an independent blood supply; and (2) well-developed smooth muscle is present in intestinal duplication but not in Meckel’s diverticulum[ 19 ]. Studies suggest that there is a direct communication hole between intestinal duplication and the normal intestinal wall for unknown reasons[ 20 , 21 ].…”

Section: Discussionmentioning

confidence: 99%

Intestinal intussusception caused by intestinal duplication and ectopic pancreas: A case report and review of literature

Wang¹,

Gong²,

Wang³

et al. 2022

WJCC

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BACKGROUND Intestinal intussusception caused by intestinal duplication and ectopic pancreas is extremely rare in the clinic and has not been reported previously. CASE SUMMARY A 29-year-old man was admitted to the hospital for chronic abdominal pain and bloating. The preoperative diagnosis was intestinal obstruction and intussusception. Then, laparotomy, partial small intestinal resection and extraintestinal decompression were performed. Postoperative pathology confirmed intestinal duplication and ectopic pancreas. After surgery, the patient recovered well with no complications. No recurrence was observed after more than 5 mo of follow-up. CONCLUSION We report a new case of a young male with intussusception caused by intestinal duplication and ectopic pancreas. Surgery is the main treatment for these conditions. This study aimed to raise awareness and provide information to improve the clinical management of this rare yet serious condition.

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Section: Discussionmentioning

confidence: 99%

Intestinal intussusception caused by intestinal duplication and ectopic pancreas: A case report and review of literature

Wang¹,

Gong²,

Wang³

et al. 2022

WJCC

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“…Several surgical techniques have been previously described in the literature for the treatment of rectal duplications, including parasacral, transanal, perianal and abdominal approaches 18–28. The size and location of the lesion, along with surgeon’s experience should be considered when choosing the operative technique, for there is no consensus about the best surgical approach 9 29–31. The parasacral approach may be appropriate for small lesions located posteriorly to the rectum; its major disadvantages are the risk of intraoperative pelvic haemorrhage and injury to the lateral pelvic nerves 19 29.…”

Section: Discussionmentioning

confidence: 99%

Rectal duplication cyst in an adult with a history of imperforate anus: a diagnostic challenge

et al. 2022

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Rectal duplications are rare congenital anomalies that represent 1%–6% of alimentary tract duplications. We report a case of a woman in her 50s who presented to our hospital with perianal pain and urinary retention. She had a history of imperforate anus repaired after birth and dynamic graciloplasty performed during her adulthood for faecal incontinence. Abdominal CT scan showed a fluid collection extending from the electrostimulator, placed in a subcutaneous pocket in the abdomen, to the rectouterine pouch. Infection related to the electrostimulator was assumed and, after a course of antibiotics without patient improvement, the electrostimulator was removed. The symptoms and the pelvic fluid collection persisted, and diagnostic laparoscopy was performed. Diagnosis of rectal duplication cyst was made intraoperatively, and the cyst was completely resected. Patient fully recovered after surgery. This is a rare case of a rectal duplication cyst presenting during adulthood and associated with imperforate anus.

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“…A search on PubMed for the period 1950–2021 using "enteric duplication", "volvulus" and "torsion" as search words revealed four cases of volvulus of the enteric duplication itself. Table 2 shows the five total cases of volvulus of the enteric volvulus itself, including our present case [ 7 – 10 ]. The patient age ranged from 1 to 53 years old.…”

Section: Discussionmentioning

confidence: 99%

“…Our case seems to be a pattern (Type1c) in which the duplication is located on one side of the mesentery as described by long li et al Blood perfusion of the conjoined segment was supplied from thin pedicle of the mesentery and those of the residual two-thirds segment was supplied from intramural blood flow. Hung et al also suggested broad variations in the current anatomical classification [ 10 ]. Understanding the different potential forms of enteric duplication can help diagnose enteric duplication based on clinical symptoms and imaging findings.…”

Section: Discussionmentioning

confidence: 99%

An unusual presentation of intestinal duplication mimicking torsion of Meckel’s diverticulum: a rare report of a pediatric case

et al. 2022

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Background Enteric duplication is a congenital disease that occurs throughout the entire gastrointestinal tract. Although it may sometimes cause intestinal volvulus, a few reports have described cases of enteric duplication twisted on itself. We experienced a rare pediatric case of long-segment tubular ileal duplication showing torsion. Torsion of enteric duplication is extremely rare. We herein report a pediatric case showing unusual torsion of ileal duplication requiring emergency surgery. Case presentation A 3-year-old boy presented with abdominal pain and vomiting. Contrast-enhanced computed tomography (CT) revealed a cystic luminal structure with a blind end and fluid collection in the pelvic cavity. CT also showed no findings of ileus or intestinal dilatation except for a cystic luminal structure. The preoperative diagnosis was torsion of Meckel’s diverticulum. The patient underwent emergent explorative diagnostic laparoscopy. As a result, a necrotic luminal structure and bloody ascites were recognized, and small-scale laparotomy was performed. Long-segment ileal duplication was recognized. The long-segment tubular ileal duplication shared the anti-mesenteric side of the intestinal wall along one-third of its length. The residual two-thirds of its length was free from the ileum and its blind end was twisted in a manner that looked similar to Meckel’s diverticulum. Normal ileum and the duplication, including the twisted necrotic portion, were resected, and ileal anastomosis was performed. The postoperative course was uneventful. A pathological examination confirmed the definitive diagnosis of enteric duplication. Conclusions We reported the unusual presentation of intestinal duplication mimicking torsion of Meckel’s diverticulum. Enteric duplication shows various clinical symptoms and presentations. We must understand that the classification of digestive enteric duplication is diverse with a variety of associated clinical symptoms.

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Report of a rare case and review of adult intestinal duplication at the opposite side of mesenteric margin

Cited by 8 publications

References 27 publications

Intestinal intussusception caused by intestinal duplication and ectopic pancreas: A case report and review of literature

Intestinal intussusception caused by intestinal duplication and ectopic pancreas: A case report and review of literature

Rectal duplication cyst in an adult with a history of imperforate anus: a diagnostic challenge

An unusual presentation of intestinal duplication mimicking torsion of Meckel’s diverticulum: a rare report of a pediatric case

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