Long segment ileal duplication with extensive gastric heterotopia

Abstract

Duplications of the alimentary tract are rare congenital anomalies which can be found at all levels of the alimentary tract. Majority of the duplications present as spherical cysts and usually range from a few millimeters to less than ten centimeters in size. Duplications produce complications such as intestinal obstruction or hemorrhage. A two-month-old infant presented with recurrent episodes of bleeding per rectum. Laparotomy revealed a giant ileal duplicated bowel segment which exhibited extensive gastric heterotopia with focal ulceration.

Spontaneous Resolution of Small Bowel Obstruction in a Child following Rupture of a Small Bowel Duplication Cyst

“…Obstruction secondary to compression of the bowel by the mass effect of a duplication cyst is a rare complication; however, this phenomenon has been previously documented. 6–8 More frequently, small bowel duplication cysts present either with abdominal pain or secondary to complications arising from the presence of ectopic gastric mucosa (ulcerations, perforation or haemorrhage). Other complications include acting as the anchor point for intussusception or volvulus.…”

Perforation of Heterotopic Gastric Mucosa in ileal duplication in an adult: A case report

“…Duplication of the gastrointestinal tract is a rare pathology. It is estimated to occur in one in every 4500 births [1]. Most cases of duplicated bowel present during childhood [2].…”