TITLE

Gastrointestinal Duplications: Experience in Seven Children and a Review of the Literature

AUTHOR(S)
Olajide, Abdur-Rahman L.; Yisau, Abdulkadir A.; Abdulraseed, Nasir A.; Kashim, Ibrahim O. O.; Olaniyi, Adeniran J.; Morohunfade, Adesiyun O. A.
PUB. DATE
April 2010
SOURCE
Saudi Journal of Gastroenterology;Apr2010, Vol. 16 Issue 2, p105
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background/Aim: Enteric duplication (ED) is a rare congenital anomaly that can occur anywhere along the alimentary tract from the mouth, down to the anus and the nearby organs. This uncommon anomaly may be asymptomatic or presents with vague symptoms mimicking other common pathologies. We aim to present our experience, management challenges and patterns of ED with a review of the literature. Settings and Design: The study was carried out at a Nigerian Tertiary Hospital (2005-2008 inclusive). Materials and Methods: We retrospectively analyzed seven patients with ED managed in our hospital for sex, age, clinical presentations, duplication size and site, presence of ectopic tissue, complications, associated anomalies, radiological workups, and prognosis. Data was analyzed using SPSS 11.0 for window. Results: Seven children between the age range of 44 hours--10 years had ED, one sublingual and six intraabdominal duplications. Midgut volvulus with long segment bowel gangrene complicated two cases. The diagnosis was incidental in all. Three cases were diagnosed following conventional radiological contrast examination and the rest at surgery. Ultrasound was not helpful in making diagnosis in all the six intraabdominal duplications. Though surgery was recommended for all, one of the patients declined. Only one patient had unsuccessful surgery. Conclusions: ED requires high index of clinical suspicion and careful management. Many cases of nonspecific abdominal pains should be properly evaluated before patients suffer avoidable complications.
ACCESSION #
48988955

 

Related Articles

  • Primary small bowel volvulus in adults can be fatal: a report of two cases and brief review of the subject. Weledji, Elroy P; Theophile, Nana // Tropical Doctor;Apr2013, Vol. 43 Issue 2, p75 

    Primary small bowel volvulus is a relatively rare cause of small bowel obstruction but can be fatal. The chief problem is in differentiating it from other causes of obstruction that can be treated conservatively. We report two cases of primary small bowel volvulus in a regional hospital in the...

  • INTESTINAL ROTATION ANOMALIES. Ardeleanu, V.; Chebac, Gica-Rumina; Vesa, Doina; Georgescu, Costinela // Romanian Journal of Functional & Clinical, Macro- & Microscopica;Apr2011, Vol. 10 Issue 2, p202 

    The intestinal rotation anomalies represent a specific pathology, rarely met, most of the times being discovered intraoperatively. The incidence of these anomalies is higher in children, especially in their first week of life, while others may take the form of different clinical pictures,...

  • Gastropexia laparoscópica en niños con vólvulo gástrico. Mendoza-Sagaon, Mario; Reinberg, Olivier; Darani, Alexandre; Leuthardt, Rudolf // Acta Pediatrica de Mexico;may/jun2008, Vol. 29 Issue 3, p151 

    The aim of this study was to evaluate the results of our technique of laparoscopic gastropexy in children with gastric volvulus. methods: The files of all children with gastric volvulus operated with a laparoscopic gastropexy in two Swiss medical institutions were analyzed. Results: Fifteen...

  • Long-term complications following intestinal malrotation and the Ladd’s procedure: a 15 year review. Murphy, Feilim Liam; Sparnon, Anthony L. // Pediatric Surgery International;Apr2006, Vol. 22 Issue 4, p326 

    Background: It is accepted that children with volvulus require urgent surgery. However the long term sequelae and late complications of its surgical therapy are less well understood. We hypothesised that the surgical corrected intestinal malrotation have significant long term impact on the...

  • Left Side Appendicitis with Midgut Malrotation in an Adult. Birnbaum, David Jérémie; Geffroy, Yann; Goin, Géraldine; Balandraud, Paul // Journal of Surgical Technique & Case Report;Jan-Jun2013, Vol. 5 Issue 1, p38 

    Midgut malrotation (MMR) is a congenital anomaly referring to either nonrotation or incomplete rotation of the primitive intestinal loop around the axis of the superior mesenteric artery during fetal development. Adult MMR is rare and majority of MMR in adults remains asymptomatic throughout...

  • Rare Chronic Gastric Volvulus Associated with Left Atrial and Mediastinal Compression. Shriki, Jabi E.; Nguyen, Khanh; Rozo, Juan Carlos; Reul, George J.; Mortazavi, Ali // Texas Heart Institute Journal;2002, Vol. 29 Issue 4, p324 

    We report a case of chronic gastric volvulu associated with left atrial compression in a 75-year-old woman who presented with chest pain, shortness of breath and hypotension after elective hemiarthroplasty of the left hip. The patient's medical history included a paraesophageal hernia and...

  • Small-Intestinal Volvulus. Hong, Ming-Yuan; Chi, Chih-Hsien // New England Journal of Medicine;7/28/2011, Vol. 365 Issue 4, p358 

    The article presents the case of a 67-year-old male who was rushed to the emergency department due to acute abdominal pain and was diagnosed with small-bowel volvulus.

  • Late Presentation of Intestinal Malrotation: An Argument for Elective Repair. Moldrem, Amy W.; Papaconstantinou, Harry; Broker, Harshal; Megison, Steve; Jeyarajah, D. Rohan // World Journal of Surgery;Jul2008, Vol. 32 Issue 7, p1426 

    Midgut malrotation most commonly presents in young children. This diagnosis is not often entertained in the adolescent or adult with abdominal complaints. We reviewed our experience with this subset of malrotation patients. A retrospective review of medical records from adolescent or adult...

  • Caecal volvulus: a twisted tale. Khaniya, Sudeep; Shakya, Vikal Chandra; Koirala, Rabin; Pokharel, Krishna; Regmi, Rajendra; Adhikary, Shailesh; Agrawal, Chandra Shekhar // Tropical Doctor;Oct2010, Vol. 40 Issue 4, p244 

    Caecal volvulus is an uncommon cause of acute intestinal obstruction caused by axial twisting of the caecum along with the terminal ileum and ascending colon. Early diagnosis is essential in order to reduce the high mortality rate, though the condition is rarely diagnosed correctly at the time...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics