Ileal duplication presenting as perforation: Report of a case

Sakamoto, Kazuhiro; Hasegawa, Seiji; Yamazaki, Yasunobu; Makino, Tatsuo; Suda, Takashi; Imada, Toshio

doi:10.1007/s005950050621

Cited by 26 publications

(24 citation statements)

References 8 publications

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“…Most duplication is located in the ileum and the presenting symptoms are bowel obstruction, intestinal bleeding and/ or even perforation. Apart from ileal duplication, colon duplication is a rare congenital anomaly [1][2][3][4] . We present a case of combined duplication of the colon and appendix vermiformis, which led to hydronephrotic atrophy of the kidney.…”

Section: Introductionmentioning

confidence: 99%

Combined duplication of the colon and vermiform appendix in an adult patient

Kabay

Yücel²,

Yaylak³

et al. 2008

WJG

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Combined duplication of the colon and vermiform appendix is one of the rare congenital anomalities of the alimentary tract. Only a few cases have been reported in the adult population. A 28-year-old man presented to the clinic with a mass in the right flank. Imaging showed only a hydronephrotic atrophic kidney. The final diagnosis was only available at exploration. Combined duplication of the tubular colon and vermiform appendix was confirmed histopathologically. The patient was treated with nephrectomy and complete resection of the duplicated colon and vermiform appendix. The patient recovered uneventfully, and has done well for the past year. This is believed to be one of the first reports of combined duplication of the tubular colon and vermiform appendix as a cause of hydronephrotic atrophic kidney in an adult patient.

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Section: Introductionmentioning

confidence: 99%

Combined duplication of the colon and vermiform appendix in an adult patient

Kabay

Yücel²,

Yaylak³

et al. 2008

WJG

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“…Most patients with duplication present with a palpable abdominal lump, 3 bowel obstruction, intussusceptions and/or hemorrhage due to heterotrophic gastric mucosa in the duplicated segment 4 but peritonitis caused by perforation of the duplication is rarely seen 5 .…”

Section: Discussionmentioning

confidence: 99%

Duplication of Small Gut Presenting as Obstruction in an Adult Patient: A Rare Clinical Presentation

Bijalwan¹,

Sharma²,

Sharma³

2014

jemds

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Duplication of gut presenting as perforation, peritonitis in an adult is a very rare clinical presentation. Here we report a case of an adult female patient in generalized peritonitis was caused by perforation of tubular communicating, duplicated, Ileal loop which rotated at its attachment with main ileum. This condition was managed by performing laparotomy, excision of the duplicated gut segment followed by end to end ileoileal anastomosis. KEYWORDS: Duplication of small intestine, Obstruction and perforation, Resection and anastomosis.CASE REPORT: A 32 yrs. old female presented in surgical OPD with the history of generalized abdominal pain, gradual distension and vomiting off and on for the last 3-4 days. She had been suffering from episodes of these symptoms for past couple of months, suggestive of sub-acute intestinal obstruction. However for last few days, these symptoms were aggravated.Patient had been empirically put on ATT by clinicians whom she had been consulting before coming to our hospital. Patient had undergone laparotomy about 8 years ago for perforated appendix. Patient appeared quite ill, dehydrated with tachycardia tachypnea and mild fever.Physical examination, revealed distended abdomen with tenderness and guarding all over. Rebound tenderness was also present. No hepatosplenomegaly was detected. P/V and P/R examination were within normal limits. A right paramedian scar from previous surgery was present.Hematological profile revealed normal study. X-ray abdomen erect view showed multiple Air fluid levels. USG study of abdomen showed mesenteric thickening with mild fluid and dilated bowel loops. She was taken up for Exploratory Laparotomy after correcting her dehydration.Abdomen was opened through mid-line incision which revealed dilated small bowel loops with free fluid. Exploration revealed about one feet long tubular, dilated and duplicated gut which had rotated upon its own axis where it was joining with the main gut, communicating at both proximal and distal ends, causing obstruction and perforation. [Fig. 1, Fig. 2]. The segment had no independent mesentery. It derived it's vascularity from the main ileal wall segment with which it was communicating (as shown by a hand inserted in the intervening empty space between the two segments in the Fig. 2). This segment was about 2.5 ft. away proximal to ileocecal junction. This duplicated gut segment was resected and an end to end ileoileal anastomosis was done. No evidence of abdominal Koch's was detected.Her post-operative period remained uneventful and she was discharged fifteen days after surgery.HPE Report: Revealed duplication of small gut with all three layers. No evidence of heterotopia, dysplasia or tuberculosis was found.

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“…Many complications related to colonic duplications have been reported in adults, such as obstruction, bleeding, intussusception, or melena (3)(4)(5)(6). Peritonitis related to perforation of the duplication is a rare condition in adults (1,3). To our knowledge, this report describes the first case of an unusual cause of acute abdomen in an adult patient related to cecal duplication cyst perforation (CDCP).…”

Section: To the Editormentioning

confidence: 90%

“…Alimentary tract duplications are uncommon congenital abnormalities that may occur anywhere in the digestive tract from the lingual root to the anus (1). More than 80% of the cases can be detected prenatally or in the first two years of life, but this rare entity may remain asymptomatic for years, even until adulthood, unless complications occur (2).…”

Section: To the Editormentioning

confidence: 99%