Presentation
We present an unusual case of a 13 year old boy, who presented with an acute abdomen and malaena with contrasting radiological and operative findings. [adc.bmj.com]
75% present in first 2 years of life 80% present with bowel obstruction Other presenting signs include melena, abdominal mass and perforation Diagnosis is most often made at laparotomy Treatment Treatment is operative resection if feasible – Cystic and [surgery4children.com]
Definition / general GI duplications are uncommon congenital abnormalities, 80% recognised before age 2; colorectal duplications occur in 7% of cases Rare in adults, may present with rectal bleeding (J Clin Pathol 2010;63:1080, World J Gastroenterol 2005 [pathologyoutlines.com]
Rarely, it is seen in adults who remain asymptomatic or present with vague abdominal symptoms. [ncbi.nlm.nih.gov]
other localization are rare (Fig. 1). - May be present in two separate parts of GI tract; multiple duplications described in 3% to 20% cases,... [posterng.netkey.at]
Entire Body System
- Neonatal Intestinal Obstruction
Rattan KN, Bansal S, Dhamija A: Gastrointestinal duplication presenting as neonatal intestinal obstruction: An experience of 15 years at tertiary care centre. J Neonatal Surg 6(1):5, 2017. doi: 10.21699/jns.v5i4.432 Click here for Patient Education [merckmanuals.com]
Intestinal Atresias Intestinal atresias (duodenal, jejunal and ileal) are common and account for approximately one third of all cases of neonatal intestinal obstruction, but colonic atresias are rare. [hawaii.edu]
DEVELOPMENTAL OBSTRUCTIVE DEFECTS Neonatal intestinal obstructions may be classified as high or low. [pubs.rsna.org]
Gastrointestinal
- Intestinal Disease
Problems with the small intestine can include: Bleeding Celiac disease Crohn's disease Infections Intestinal cancer Intestinal obstruction Irritable bowel syndrome Ulcers, such as peptic ulcer Treatment of disorders of the small intestine depends on the [icdlist.com]
Keywords Double-balloon endoscopy Ileal duplication Small intestine Introduction Enteric duplication is a rare congenital disease. It is mainly observed in the small intestine, although it can occur anywhere in the gastrointestinal tract. [springerplus.springeropen.com]
- Intestinal Perforation
Transitory ascites or meconium peritonitis can appear when intestinal perforations occur [5]. [intechopen.com]
Skin
- Hirsutism
Prenatal exposure to alcohol causes numerous fetal malformations, including nail dysplasia accompanied by: microcephaly, facial hirsutism, short palpebral fissures. Fryns Syndrome. [intechopen.com]
Workup
Moreover, Tc-99m pertechnetate scintigraphy is recommended as the first-line option of choice for the workup of DAT[ 16 ]. The positive result depends mainly on the abnormal enrichment of radionuclides accumulated by the heterotopic gastric mucosae. [wjgnet.com]
Further workup with a multidisciplinary team led to the correct diagnosis and management. [jmedicalcasereports.biomedcentral.com]
Computed tomography (CT) scan: CT scan, especially multi detector CT of the chest or abdomen is useful in establishing a diagnosis of alimentary tract duplication during the preoperative workup and may be used to evaluate synchronous distant lesions once [sjmms.net]
Treatment
Significant updates on bariatric surgery, Barrett's esophagus, endoscopic ultrasound, endosonography, treatment of liver disease, and much more keep you current on the latest advances. [books.google.de]
Treatment of oral duplications is excision with closure of remaining mucosa. [surgery4children.com]
A 25-year-old man complained of chronic, intermittent abdominal pain for 3 years following previous appendectomy for the treatment of suspected appendicitis. [wjgnet.com]
Babies with birth defects often need special care and treatments. The treatments may include surgery, medicines, assistive devices, and therapies. [icdlist.com]
Prognosis
The prognosis depends on other associated anomalies. [intechopen.com]
Prognosis is determined by the length and function of the remaining bowel. Long-term complications include malabsorption, feeding intolerance and bacterial overgrowth (3). [hawaii.edu]
Because of the small number of patients, the prognosis of adenocarcinoma arising in an intestinal duplication is not well understood. [kjim.org]
Surgery is the treatment of choice and this condition has an excellent prognosis. [ijhas.in]
Etiology
The etiology of intestinal duplications is unknown. Theories include abnormalities in recanalization, a vascular insult, persistence of embryonic diverticula, and partial twinning. [msdmanuals.com]
Etiology The true etiology of GI tract duplications is not known. [7] Several theories have been postulated. The idea that the initial developmental abnormality occurs in the gastrulation stage and results in a split notochord has been proposed. [emedicine.medscape.com]
Epidemiology
Model-based estimation of relative risks and other epidemiologic measures in studies of common outcomes and in case-control studies. Am J Epidemiol 2004 ;160: 301 - 305 30. Zeger SL, Liang KY, Albert PS. [nejm.org]
Epidemiology Exact incidence is unknown. Approximately two-thirds of all intestinal duplications are discovered within the first two years of life. [surgery4children.com]
Epidemiology GI duplications are observed in 1 of every 4500 autopsies, predominantly in white males. Synchronous GI duplications occur in as many as 15% of patients. [emedicine.medscape.com]
Pathophysiology
The following are examples: Thoracoabdominal duplications - Vertebral anomalies (approximately 75%) Enteric cystic duplications - Intestinal atresias Tubular hindgut duplications - Genitourinary malformations Pathophysiology GI duplications are most frequently [emedicine.medscape.com]
Sleisenger & Fordtran's Gastrointestinal and Liver Disease Pathophysiology / Diagnosis / Management, sixth edition. 1998, Philadelphia: W. B. Saunders Company, pp. 1423-1431. 4. Wyllie R. Chapter 330 - Intestinal Atresia, Stenosis, and Malrotation. [hawaii.edu]
The pathophysiological mechanisms are still unclear, with most cases occurring sporadically, although rare cases were reported in some families. [intechopen.com]
This approach has helped in defining the natural history of congenital anomalies, determining the pathophysiologic features that affect clinical outcome and formulating management based on prognosis. [ijri.org]
Prevention
Physiology 279 (2 …, 2000 94 2000 Anomalous congenital bands causing intestinal obstruction in children FM Akgür, FC Tanyel, N Büyükpamukçu, A Hiçsönmez Journal of pediatric surgery 27 (4), 471-473, 1992 89 1992 Amnio-allantoic fluid exchange for the prevention [scholar.google.com.au]
It is a strong anti-reflux mechanism to prevent reflux from the cecum into the terminal ileum acting as an important barrier water shade and keeping small bowel contents free from gross contamination and bacterial overgrowth [2]. [austinpublishinggroup.com]
Ethanol locks to prevent catheter-related bloodstream infections in parenteral nutrition: a meta-analysis C Oliveira, A Nasr, M Brindle, PW Wales Pediatrics 129 (2), 318-329, 2012 138 2012 Lung torsion after tracheoesophageal fistula repair: a case report [scholar.google.ca]
Is chronic lung disease in low birth weight infants preventable? A survey of eight centers. Página 84 - Tanner JM, Whitehouse RH, Marubini E, Resele LF. The adolescent growth spurt of boys and girls of the Harpenden growth study. [books.google.es]
If cysts grow large enough, surgery may be needed to prevent twisting of the ovary that could impact your daughter’s future ability to have children. [ohiofetalmedicine.org]