Presentation
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]
Case Presentation A term baby girl weighing 3540 gm was born by vaginal delivery. [austinpublishinggroup.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]
Case Presentation A previously healthy 21-year-old male presented with a 3-month history of crampy epigastric pain, diarrhea, and persistent nausea. [hindawi.com]
This study described two cases with different presentations of IDC. The first one was a 6-month-old female presented with bleeding per rectum for 2 days. [saudisurgj.org]
Entire Body System
- Swelling
Upper gastrointestinal (GI) endoscopy showed globular swelling at the medial wall of D2 (Fig. 1). The ampulla was situated at the summit of swelling. [jmedicalcasereports.biomedcentral.com]
Patient admitted to our department with complaints of epigastric pain and swelling. [journalofmas.com]
The second one was a 7-year-old boy presented with constipation for 3 years and abdominal swelling in the last 3 months. Both cases were investigated clinically and radiologically and showed different findings. [saudisurgj.org]
Baker cyst a swelling on the back of the knee, due to escape of synovial fluid that has become enclosed in a sac of membrane. [medical-dictionary.thefreedictionary.com]
[…] urorectal septum completed Phallus forming from genital tubercle 18 Secondary bifurcation of ureteric bud Urethral membrane (and cloacal membrane) perforate 20 7 Gonad recognizable as ovary; cortex forming Labioscrotal folds developed (lateral genital swellings [glowm.com]
- 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 [msdmanuals.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]
- Inguinal Hernia
Completely isolated enteric duplication cyst presenting as an inguinal hernia. Kor J Pathol 2010;44:204–6. [11]. Park JY, Her KH, Kim BS, et al. A completely isolated intestinal duplication cyst mimicking ovarian cyst torsion in an adult. [journals.lww.com]
Gastrointestinal
- Constipation
[…] presented here referred with the chief complaint of abdominal pain and constipation. [ircmj.com]
Case 2 A 7-year-old Pakistani boy presented with constipation for 3 years and abdominal swelling in the last 3 months. Habitual constipation treated with frequent enemas along with laxatives, with some response to medications. [saudisurgj.org]
In summary, although rare, a possibility of duplication should be kept in mind in patients presenting with lump, progressive constipation and large gas shadow on plain abdominal x-ray. [jscimedcentral.com]
Patients usually present with constipation but acute obstruction is less commonly reported. The pathogenesis remains unknown and hypotheses have been proposed: i. Incomplete recanalisation of the digestive tract lumen ii. [radiologytutor.com]
Duplication in females with fistulae Rectovaginal or rectoperineal fistula Constipation or obstruction of duplicated colon Duplication in males with fistulae Rectourinary fistula and functioning perineal anus May have bifid scrotum or double penis Duplication [surgery4children.com]
- Abdominal Distension
Presenting symptoms were pain, abdominal mass [4,6] and features of obstruction [4] in older patients whereas newborns presented with perforation peritonitis [5] and abdominal distension [7]. [jscimedcentral.com]
Children can present with a variety of symptoms including abdominal distension, vomiting, bleeding, a palpable abdominal mass and rarely urinary frequency and hesitancy. [casereports.in]
These symptoms include abdominal distension, vomiting, palpable abdominal mass, bleeding, and rarely urinary hesitancy. [4] They are also associated with other congenital malformations such as vertebral and urogenital abnormalities. [ijhas.in]
Case report An 8-month-old male infant presented with history of mild to moderate abdominal distension for 2 months. There were no other significant gastrointestinal or urinary complaints. Antenatal history was not significant. [ispub.com]
Duplications may present a variety of clinical findings, including acute intestinal obstruction, palpable abdominal mass, vague abdominal pain over prolonged periods, or intermittent gastrointestinal bleeding, nausea, vomiting, abdominal distension, and [kjim.org]
- Diarrhea
This condition may appear in young infants with severe diarrhea resulting in a malabsorption syndrome and failure to thrive. [pediatrics.aappublications.org]
[…] abnormal contraction異常収縮 abscess 膿瘍 absorption吸収 accessory pancreatic duct副膵管 acinar cell腺房細胞 acoustic shadow音響陰影 acute abdomen急性腹症 acute appendicitis急性虫垂炎 acute cholangitis (cholangitis acuta)急性胆管炎 acute cholecystitis (cholecystitis acuta)急性胆嚢炎 acute diarrhea [tokyo-med.ac.jp]
There was no history of fever or diarrhea. On examination, abdominal tenderness was noted mainly in the right iliac fossa. Palpable and movable lump was felt in the infraumbilical region measuring 3 cm × 3 cm. [ijhas.in]
Case Presentation A previously healthy 21-year-old male presented with a 3-month history of crampy epigastric pain, diarrhea, and persistent nausea. [hindawi.com]
Other symptoms include vomiting, abdominal pain, constipation, diarrhea and acute GI hemorrhage. Duplications may be diagnosed with ultrasound, MRI or CT of the abdomen. Undiagnosed intestinal duplications may undergo malignant transformation. [hawaii.edu]
- Failure to Thrive
This condition may appear in young infants with severe diarrhea resulting in a malabsorption syndrome and failure to thrive. [pediatrics.aappublications.org]
[…] to thrive in infants`…Antral web. [slideshare.net]
Other complications of the disease are failure to thrive, slow feeding, esophageal stenosis, recurrent aspiration pneumonia, reactive airway disease, severe gastroesophageal reflux, coughing and choking (2). [hawaii.edu]
[…] to thrive. [22],[24],[25] On EUS, gastric duplication cyst can appear as a hypoechoic lesion with a heterogeneous internal echotexture and regular margins. [eusjournal.com]
- Intestinal Disease
Nonneoplastic intestinal diseases. in: Sternberg S.S. Diagnostic surgical pathology. 2nd ed. Raven Press, New York1994: 1311-1370 Norman T. Shirai Y. Hatakeyama K. Nikkuni K. [giejournal.org]
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]
Urogenital
- Clitoromegaly
Clitoromegaly is present in all patients. Separate urethral and vaginal orifices may occur with only minimal labial fusion. [glowm.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]
X-Ray
- Bowel Distention
Statistical analysis was performed in order to correlate shunt malfunctioning with type of abdominal approach (trocar vs mini-laparotomy), perioperative infective status, sex, bowel distention and length of surgical time. Results. [giornalechirurgia.it]
(c) Gross specimen shows marked distention of the small bowel loops. Figure 5b. Meconium ileus. [pubs.rsna.org]
- Atelectasis
Surface Properties in Relation to Atelectasis and Hyaline Membrane Disease. Página 485 - In: Scriver CR, Beaudet AL, Sly WS, et al., eds. The Metabolic Basis of Inherited Disease. 6th ed. New York: McGraw-Hill; 1989. [books.google.es]
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]
Babies with birth defects often need special care and treatments. The treatments may include surgery, medicines, assistive devices, and therapies. [icdlist.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]
Duplications of the alimentary tract: clinical characteristics, preferred treatment, and associated malformations. [giejournal.org]
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]
Megacystis may represent a collection of several different etiologies. This patient’s clinical course indicates that the etiology is most likely due to spontaneous resolution of his congenital urethral stricture. [jstage.jst.go.jp]
Etiology The true etiology of GI tract duplications is not known. [9] 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]
The epidemiology of appendicitis and appendectomy in the United States. Am J Epidemiol 1990 ; 132 (5): 910 – 925 [Google Scholar] 3. Arda IS, Şenocak ME, Hiçsönmez. A duplication of vermiform appendix: case report and review of the literature. [internationalsurgery.org]
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]
Their aetiology is still unknown; several theories have been proposed to explain their pathophysiology, but no single hypothesis can justify all duplications, locations and associated anomalies. Split notochord theory is often postulated [8]. [insightsimaging.springeropen.com]
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]