An Ileal Duplication in a 12-year-old Girl which was Resected by Laparoscopy-assisted Surgery.
- Author:
Jung Jin JANG
1
;
Hae Sung KIM
;
Tae Hwa KIM
;
Jung Hun LEE
;
Han Joon KIM
;
Jang Yeong JEON
;
Byoung Yoon RYU
;
Hong Ki KIM
;
Sook Nam KUNG
;
Kyung Hwa LEE
;
Kyung Chan CHOI
Author Information
1. Department of Sugery, Chunchon Sacred Heart Hospital, College of Medicine, Hallym University, Chuncheon, Korea. byryu@hallym.or.kr
- Publication Type:Case Report
- Keywords:
Duplication;
Ileum;
Laparoscopy-assisted resection
- MeSH:
Abdominal Pain;
Anemia;
Child*;
Female*;
Gastric Mucosa;
Gastrointestinal Hemorrhage;
Gastrointestinal Tract;
Humans;
Ileum;
Shock;
Tomography, X-Ray Computed;
Ultrasonography
- From:Journal of the Korean Surgical Society
2007;72(3):258-261
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Gastrointestinal duplication is a rare congenital anomaly which can occur anywhere along the digestive tract. The most common site is the mesenteric border of the terminal ileum. Intestinal duplication usually becomes symptomatic early in life with the severity of symptoms depending on the location and type of mucosal lining. Ectopic gastric mucosa is an associated possibility. Gastrointestinal hemorrhage is the most serious complication, which can cause severe anemia and shock. Another complication, although rare, is carcinoma in a duplicate cyst. We experienced an unusual case of a 12-years-old girl who presented with intermittent abdominal pain and hematochezia. There was no abnormality on Meckel's scan. Abdominal CT revealed a cystic mass in the pelvic cavity and subsequent transabdominal ultrasound showed the double-layered wall of the duplication. We performed laparoscopy-assisted, segmental resection of the ileum. The patient was discharged without any complication on the 7th postoperative day.
