Tubular subtotal form of the small intestinal doublication
Andrei V. Pisklakov , Denis A. Fedorov , Sergey V. Moroz , Vyacheslav I. Ponomarev , Anatoly V. Lysov , Alla E. Lubavina
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care ›› 2020, Vol. 10 ›› Issue (1) : 75 -80.
Tubular subtotal form of the small intestinal doublication
Duplication of the gastrointestinal tract is a relatively rare malformation. The incidence is approximately 1 in 10 000 live births with the small intestinal duplication in most cases. Malformations with a long duplication part are considered technically complex. A successfully treated clinical case of the subtotal small intestinal duplication in a child is presented in the article. The mid-median mini-laparotomy was performed and a subtotal 1 meter length small intestinal duplication was revealed (from the Treitz’s ligament to the ileum in 50 cm from the ileocolic valve). The proximal part of the intestinal duplication and its mucous membrane of the distal part with the common wall were completely removed. Histological examination found ectopia of the gastric mucosa and pancreatic tissue. Surgical treatment of this malformation is aimed at the complete removal of the duplication part due to possible ectopia of the gastric mucosa or pancreatic tissue. If the resection of an entire part of the intestinal duplication is technically impossible, the mucous membrane can be removed.
gastrointestinal tract duplication / tubular form / children
| [1] |
Shah A, Du J, Sun Y, Cao D. Dynamic change of intestinal duplication in an adult patient: A case report and literature review. Case Rep Med. 2012;2012:297585. https://doi.org/10.1155/2012/297585. |
| [2] |
Соколов Ю.Ю., Зыкин А.П., Донской Д.В., и др. Диагностика и хирургическая коррекция удвоений пищеварительного тракта у детей // Детская хирургия. — 2017. — Т. 21. — № 3. — С. 121–127. [Sokolov YuYu, Zykin AP, Donskoy DV, et al. Diagnostics and surgical correction bodies in the of digestive tract duplication in children. Russian Journal of Pediatric Surgery. 2017;21(3):121-127. (In Russ.)] https://doi.org/10.18821/1560-9510-2017-21-3-121-127. |
| [3] |
Herman AM, Msuya D, Kaino M, et al. Tubular Duplication of the Midgut Presenting with Acute Abdomen and Hematochezia: A Case Report from Northern Tanzania. Case Rep Surg. 2018;2018:2858723. https://doi.org/10.1155/2018/2858723. |
| [4] |
Fiorani C, Scaramuzzo R, Lazzaro A, et al. Intestinal duplication in adulthood: A rare entity, difficult to diagnose. World J Gastrointest Surg. 2011;3(8):128-130. https://doi.org/10.4240/wjgs.v3.i8.128. |
| [5] |
Iyer CP, Mahour GH. Duplications of the alimentary tract in infants and children. J Pediatr Surg. 1995;30(9):1267-1270. https://doi.org/10.1016/0022-3468(95)90482-4. |
| [6] |
Xiang L, Lan J, Chen B, et al. Clinical characteristics of gastrointestinal tract duplications in children: A single-institution series review. Medicine. 2019;98(44):e17682. http://doi.org/10.1097/MD.0000000000017682. |
| [7] |
Holcomb GW, Gheissari A, O’Neill JA. Surgical management of alimentary tract duplications. Ann Surg. 1989;209(2):167-174. http://doi.org/10.1097/00000658-198902000-00006. |
| [8] |
Olajide A-RL, Yisau AA, Abdulraseed NA, et al. Gastrointestinal duplications: Experience in seven children and a review of the literature. Saudi J Gastroenterol. 2010;16(2):105-109. http://doi.org/10.4103/1319-3767.61237. |
| [9] |
Lima M, Molinaro F, Ruggeri G, et al. Role of mini-invasive surgery in the treatment of enteric duplications in paediatric age: a survey of 15 years. Pediatr Med Chir. 2012;34(5):217-222. http://doi.org/10.4081/pmc.2012.57. |
| [10] |
Okur MH, Arslan MS, Arslan S, et al. Gastrointestinal tract duplications in children. Eur Rev Med Pharmacol Sci. 2014;18(10):1507-1512. |
| [11] |
Chan KW, Lee KH, Mou JW, et al. Laparoscopic management of complicated Meckel’s diverticulum in children: a 10-year review. Surg Endosc. 2008;22(6):1509-1512. http://dx.doi.org/10.1007/s00464-008-9832-0. |
| [12] |
Puligandla PS, Nguyen LT, St-Vil D, et al. Gastrointestinal duplications. J Pediatr Surg. 2003;38(5):740-744. http://doi.org/10.1016/jpsu.2003.50197. |
| [13] |
Bower RJ, Sieber WK, Kiesewetter WB. Alimentary tract duplications in children. Ann Surg. 1978;188(5):669-674. http://doi.org/10.1097/00000658-197811000-00015. |
| [14] |
Choi SO, Pack WH, Kim SP. Enteric duplication in children: an analysis of 6 cases. J Korean Med Sci. 1993;8(6):482-487. http://doi.org/10.3346/jkms.1993.8.6.482. |
Pisklakov A.V., Fedorov D.A., Moroz S.V., Ponomarev V.I., Lysov A.V., Lubavina A.E.
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