Alimentary Tract Duplications in Infants and Children

Pintér, Andrew; Schubert, W; Szemlédy, F; Göbel, P; Schäfer, Juergen; Kustos, G

doi:10.1055/s-2008-1063390

Cited by 40 publications

(28 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…3 -5, 7 Some patient may not be symptomatic until school age or adulthood. 3,5,8 Our patient is a male which agrees with many series reported in literatures, [2][3][4][5]8 however other workers have reported no sex predilection, 9 while others found female: male ration of 9:4.…”

Section: Discussionsupporting

confidence: 81%

Caecal duplication in a neonate causing intestinal obstruction

Mava¹,

Chinda²,

Baba³

et al. 2012

Nig. J. Paed.

View full text Add to dashboard Cite

Intestinal duplication is one of the rare congenital abnormalities encountered. Duplications found on the small intestine are more commonly encountered in clinical practice than the large intestine and majority of these occurs in the ileum. We present a three-week old neonate with features of intestinal obstruction a presumptive diagnosis of intususception with presumed sepsis was made.Intraoperative findings revealed caecal duplication causing the intestinal obstruction. Limited excision and ileo-ascending colic anastomosis was carried out. Patient responded well and was discharged on follow-up.

show abstract

Section: Discussionsupporting

confidence: 81%

Caecal duplication in a neonate causing intestinal obstruction

Mava¹,

Chinda²,

Baba³

et al. 2012

Nig. J. Paed.

View full text Add to dashboard Cite

show abstract

“…Estas malformaciones se han descrito a lo largo de todo el tracto digestivo, desde la base de la lengua hasta el recto [1][2][3][4] . La localización más frecuente de las duplicaciones es el ileon (más del 40% de los casos), y con menor frecuencia se encuentran en esófago, colon, yeyuno, estómago, duodeno y recto [1][2][3][4][5][6][7] . Habitualmente se presentan como duplicaciones únicas, pero pueden ser múlti-ples hasta en el 15% de los casos 1 .…”

Section: Caso Clínico Introducciónunclassified

Duplicación intestinal: Diagnóstico y tratamiento de una condición inusual

M²,

et al. 2009

Rev Chil Cir

View full text Add to dashboard Cite

Intestinal duplication: Diagnosis and treatment of an unusual conditionWe report a 2.5 years old male presenting with abdominal pain, nausea and vomiting lasting 30 days. A CAT scan showed an intestinal duplication cyst. The patient was operated and a cystic lesion of 6 cm diameter was fond and excised along with five cm of terminal ileum. Intestinal transit was reconstituted with a terminal anastomosis between ileum and colon.Key words: Intestinal duplication, intestinal cyst, ileal excision. ResumenReportamos el caso clínico de un paciente de 2 años y 6 meses de edad que fue intervenido quirúrgicamente por una duplicación intestinal del ileon terminal. Discutimos la presentación clínica, estudio radiológico, procedimiento quirúrgico y resultados del tratamiento. Revisamos la literatura actual pertinente haciendo énfasis en el diagnóstico y tratamiento de estas malformaciones por el potencial de malignidad que presentan en la vida adulta.Palabras clave: Duplicación intestinal, malformación intestinal congénita, tumores del ileon. CASO CLÍNICO IntroducciónLas duplicaciones intestinales son anomalías congénitas que se presentan con una frecuencia de 0,2% en niños 1 . Estas malformaciones se han descrito a lo largo de todo el tracto digestivo, desde la base de la lengua hasta el recto [1][2][3][4] . La localización más frecuente de las duplicaciones es el ileon (más del 40% de los casos), y con menor frecuencia se encuentran en esófago, colon, yeyuno, estómago, duodeno y recto [1][2][3][4][5][6][7] . Habitualmente se presentan como duplicaciones únicas, pero pueden ser múlti-ples hasta en el 15% de los casos 1 . La clínica de las duplicaciones intestinales es inespecífica, presentándose con náusea, vómito, dolor abdominal recurrente, presencia de masa abdominal, hemorragia digestiva, perforación y obstrucción intestinal 2 . El diagnóstico preoperatorio de las duplicaciones intestinales hasta una época reciente fue relativamente infrecuente. Actualmente,

show abstract

“…Ildstad et al saw 20 duplications in 17 patients over a period of 30 years, 12 and Holcomb et al reviewed 96 patients with 101 duplications seen over a period of 37 years. 2 Pinter et al 13 reviewed 30 cases of gastrointestinal duplications over a 25-year period and Stringer et al reviewed 77 duplications over a 20-year period. 1 Alimentary tract duplications may be found anywhere from the mouth to the anus.…”

Section: Discussionmentioning

confidence: 99%

Intrathoracic Foregut Duplication Cysts in Neonates

Nawaz

Matta

Jacobsz

et al. 2001

Annals of Saudi Medicine

View full text Add to dashboard Cite

Alimentary tract duplications are rare congenital anomalies that can present diagnostic and therapeutic difficulties. Although they can occur anywhere from the mouth to the anus, they are commonly seen in relation to the ileum.1,2 Intrathoracic foregut duplications, on the other hand, are even less common and present with a variety of symptoms, most commonly airway or esophageal obstruction. The high incidence of associated thoracic or cervical vertebral anomalies with foregut duplications should provide an early clue to the diagnosis, as management delay in such cases may be fatal. 3 The purpose of this report is to present two newborns with this anomaly and to discuss aspects of diagnosis and management. Case Reports Case 1A 10-day-old male infant was referred to our hospital because of severe respiratory distress. He was a product of a full-term normal vaginal delivery to a G4 P3 mother, and had an Apgar score of 8 and 9 at 1 and 5 minutes. At the age of 3 hours, he developed respiratory distress and was diagnosed with meconium aspiration. His examination was normal, apart from tachypnea with intercostal and subcostal retraction as well as diminished air entry on the left upper chest with a few crepitations on the right side. His chest x-ray showed hemivertebrae in the midthoracic region and haziness on the left upper lobe. The trachea was deviated to the left side and there was a mass on the right side. His CT scan of the chest revealed congenital anomalies of the upper thoracic vertebrae, including hemivertebrae. There was a large posterior mediastinal mass on the right side, which extended from the upper tracheal region to the diaphragm, and caused displacement of the heart, trachea, and esophagus. His MRI of the chest (Figure 1) showed a large prevertebral cystic mass of about 4 x 3.5 x 5 cm, mainly on the right side. There was also a cleft in the central area of upper thoracic vertebral bodies at the D4-D5 level. The cleft in the midline was connected to the cystic mass, most likely via dorsal stalk as well as tethering of the cord at the site of the cleft anteriorly. The patient underwent a right thoracotomy, which revealed a large cystic mass in the posterior mediastinum. There was a good line of cleavage between the mass and the esophagus. The mass was excised totally and the neurosurgeon dissected the stalk until about half the depth of vertebra, where it ended and was ligated and divided. There was no sign of any CSF leakage and the cyst was probably attached to the dura only. Histology revealed a 5 x 3 cm cyst lined partly with respiratory epithelium and stratified squamous epithelium, but mainly with intestinal epithelium, with some neurogenous elements as well.

show abstract

Alimentary Tract Duplications in Infants and Children

Cited by 40 publications

References 4 publications

Caecal duplication in a neonate causing intestinal obstruction

Caecal duplication in a neonate causing intestinal obstruction

Duplicación intestinal: Diagnóstico y tratamiento de una condición inusual

Intrathoracic Foregut Duplication Cysts in Neonates

Contact Info

Product

Resources

About