An unexpected gangrenous duplication of ileum
- Author:
Chiar Churn Inn
;
Sivaneswaran Lechmiannadan
;
Elango Thambusamy
;
Umasangar Ramasamy
;
Mohan Nallusamy
- Publication Type:Case Reports
- Keywords:
Duplication;
Ileum;
Gangrene;
Perforated Appendicitis
- MeSH:
Gangrene;
Ileum
- From:
The Medical Journal of Malaysia
2017;72(1):83-84
- CountryMalaysia
- Language:English
-
Abstract:
Alimentary tract duplication is a rare congenital anomaly
which may involve any part of the alimentary tract extending
from stomach to rectum. Clinical presentation may mimic an
inflamed appendix as described in this case. A 9-year-old
boy with a clinical diagnosis of perforated appendix was
noted to have a normal appendix intra-operatively. On
further search for an underlying pathology, a gangrenous
ileal duplication was discovered. En-bloc resection with
primary bowel anastomosis was done. Histopathology
report revealed a gangrenous small bowel duplication. We
discuss the preoperative diagnostic dilemma and
management options in approaching this rare entity.
- Full text:P020170306449259913810.pdf
