Intestinal duplication

Ramakrishna, Harish

doi:10.1007/s12262-008-0082-0

Cited by 14 publications

(27 citation statements)

References 16 publications

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“…[ 2 ] Since, the first report by Calder in 1733 several case reports have been published. [ 3 ] However, there is a paucity of studies from the Indian subcontinent. Herein, we present our experience with 38 EDs treated between January 2003 and July 2014.…”

Section: Introductionmentioning

confidence: 99%

Enteric duplication in children: Experience from a tertiary center in South India

Jehangir

Ninan

Jacob

et al. 2015

J Indian Assoc Pediatr Surg

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Background:Enteric duplications (EDs) are rare aberrations of the embryonic gut. This study was undertaken to define the clinical characteristics and management challenges of this unusual entity in the Indian population.Materials and Methods:Hospital records of 35 children with 38 ED operated between 2003 and 2014 were analyzed and followed up.Results:The median age at presentation was 285 days (range 1-day to 16 years) with male preponderance (71%). Small bowel duplications were the most common (44%), and thoracoabdominal duplications were seen in 8% children compared to 2% in the literature. The median duration of symptoms was 18 days (interquartile range [IQR] 3-210 days). Associated anomalies were seen in 49% children with vertebral and spinal anomalies being the most common. Ultrasonogram (US) was done in 83% children and had a sensitivity of 55%. In the presence of a gastrointestinal bleed, Technetium99m pertechnetate scintigraphy scan had a positive predictive value of 80%. Thirty-five lesions were completely removed. Mucosectomy was done in two children, and one total colonic duplication was left in situ after providing adequate internal drainage. There was no postoperative mortality. The follow-up was possible in 66% children.Conclusions:EDs are uncommon and have varied, nonspecific symptoms. Thoracoabdominal duplications are more common in the Indian population. The US is a good screening tool but requires a high index of suspicion where complete excision is not possible; the provision of adequate internal drainage is an acceptable alternative. The long-term prognosis of children with ED depends on the extent of physiological disturbance due to associated anomalies.

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Section: Introductionmentioning

confidence: 99%

Enteric duplication in children: Experience from a tertiary center in South India

Jehangir

Ninan

Jacob

et al. 2015

J Indian Assoc Pediatr Surg

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“…Gastrointestinal duplications are less common (1/4500 birth). Though many different terms were used before to determine this patologies like giant diverticula, inclusion cyst, enteric cyst, enterogenous cyst, reduplication, ileum duplex, unusual Meckel's diverticulum and accessory enteric formation, today we know all they are the same patology (7) . Usually they are tightly attached to the nearby digestive duct and located on the mesenteric border between the mesenteric leaves.…”

Section: Discussionmentioning

confidence: 99%

A Rare Association: Ileal Duplication Cyst, Intestinal Diverticula and Meckel’s Diverticulum

Can¹,

Sayan²,

Bayol³

2016

Terh

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Meckel's diverticulum which is a remnant of omphalomesenteric canal is one of the most common surgical pathologies. But they are rarely seen in association with intestinal duplication cysts defined as split notocord anomalies. We present a unique case of a 6 year-old boy referred with acute abdomen clinic and demonstrated combination of Meckel's diverticulum, intestinal diverticula and intestinal duplication cyst as detected during laparotomy. He had an uneventful recovery after we performed ileal resection and anastomosis. It should be considered the rare causes of intestinal obstruction In patients who consulted to the clinics with long-lasting intermittent abdominal pain these rare causes of intestinal obstruction should be kept in mind. Key words: Meckel's Diverticulum, intestinal duplication ÖZOmfalomezenterik kanalın bir kalıntısı olan Meckel Divertikülü en sık görülen cerrahi patolojilerden birisidir. Fakat ender olarak split notocord anomalilerinden biri olan intestinal duplikasyon kistleriyle birlikte görülürler. Bu makalemizde ender görülen bir olguyu; akut batın kliniği ile başvuran ve laparotomide Meckel Divertikülü, intestinal divertikül ve intestinal duplikasyon kisti birlikteliği saptanan 6 yaşında erkek bir hastayı sunuyoruz. Hastamız ileal rezeksiyon anastomoz yapıldıktan sonra sorunsuz iyileşmiştir. Uzun zamandır devam eden aralıklı karın ağrısı yakınması ile kliniğe başvuran hastalarda intestinal obstrüksiyonun bu gibi ender nedenleri de akla getirilmelidir. Anahtar kelimeler: Meckel Divertikülü, intestinal duplikasyon

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“… 2 These cysts can occur anywhere along the alimentary tract from the mouth to the anus, although the ileum is the most frequently involved region (35%) followed by the esophagus (19%), jejunum (10%), stomach (9%), and colon (7%). 15 CIDC is an extremely rare variant form of gastrointestinal duplication that has its own blood supply and does not communicate with the normal bowel segment.…”

Section: Discussionmentioning

confidence: 99%

“…Several theories were proposed to account for the development of enteric duplications, including recanalization after the solid epithelial stage of embryonic bowel development, persistent embryologic diverticula, and the intrauterine vascular accident theory. 15 , 16 , 17 Bremer's "aberrant vacuolization" theory suggests that epithelial proliferation occurs during embryonic intestine development and occludes the bowel lumen in the 6-week embryo ("solid stage"); thereafter, a vacuolization of the entire alimentary tract occurs, thus transforming the digestive system into a tube with a single lumen. Throughout the process of vacuole coalescence, an error might occur ("aberrant vacuolization"), resulting in the formation of 2 (or more) parallel channels that may or may not communicate with each other.…”

Section: Discussionmentioning

confidence: 99%

Adenocarcinoma Originating From a Completely Isolated Duplication Cyst of the Mesentery in an Adult

et al. 2014

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Alimentary tract duplications are uncommon congenital abnormalities that usually have an anatomical connection with some part of the gastrointestinal tract and have a common blood supply with the adjacent segment of intestine. A completely isolated duplication cyst (CIDC) is a very rare type of gastrointestinal duplication that does not communicate with the normal bowel segment and possesses its own exclusive blood supply. Only 5 CIDC cases in adults have been reported in the English medical literature. Additionally, only 1 case of mucinous cystadenoma from an infected CIDC of the ileum has been reported. This report describes a 52-year-old male patient with a peritoneal CIDC, which upon curative excision was found to have given rise to an adenocarcinoma. The latter was lined internally with malignant glandular cells and contained a smooth muscular outer layer as determined by microscopic examination of the tissue. We believe that this is the first reported case of an adenocarcinoma originating from a CIDC in an adult.

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Intestinal duplication

Cited by 14 publications

References 16 publications

Enteric duplication in children: Experience from a tertiary center in South India

Enteric duplication in children: Experience from a tertiary center in South India

A Rare Association: Ileal Duplication Cyst, Intestinal Diverticula and Meckel’s Diverticulum

Adenocarcinoma Originating From a Completely Isolated Duplication Cyst of the Mesentery in an Adult

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