Report of a rare case and review of adult intestinal duplication at the opposite side of mesenteric margin
Keywords:
Adult, Intestines, Congenital abnormalitiesAbstract
CONTEXT: To study the previously discovered clinical entity of adult intestinal duplication and its treatment, and propose an extension to its existing classification. CASE REPORT: We report the case of an adult male with abdominal pain, constipation and vomiting. This patient underwent surgical separation of adhesions, reduction of torsion and intestinal decompression. Postoperative pathological findings confirmed the rare diagnosis of intestinal duplication. CONCLUSION: Adult intestinal duplication is quite rare. Its clinical manifestations are nonspecific. From this finding of intestinal duplication originating at the opposite side of the mesenteric margin, a further extension of the existing anatomical classification is proposed.
Downloads
References
Blank G, Konigsrainer A, Sipos B, Ladurner R. Adenocarcinoma arising in a cystic duplication of the small bowel: case report and review of literature. World J Surg Oncol. 2012;10:55.
Keramidas DC, Demetriades DM. Total tubular duplication of the colon and distal ileum combined with transmesenteric hernia: surgical management and long-term-results. Eur J Pediatr Surg. 1996;6(4):243-4.
Ho YC. Total colorectal and terminal ileal duplication presenting as intussusception and intestinal obstruction. World J Gastroenterol. 2012;18(43):6338-40.
Vivier PH, Beurdeley M, Bachy B, Aguilella C, Ickowicz V, Lemoine F, et al. Ileal duplication. Diagn Interv Imaging. 2013;94(1):98-100.
Handra-Luca A. Adult ileal duplication revealed by a colon adenoma. Surg Today. 2013;43(11):1335-6.
Barbosa L, Soares C, Povoa AA, Maciel JP. Ileal duplication: an unusual cause of intestinal obstruction in adult life. BMJ Case Rep. 2015;2015.
Yu Y, Wu JS, Ke ZW. Giant chylous cyst and ileal duplication in a young adult. Singapore Med J. 2014;55(5):e77-81.
Li BL, Huang X, Zheng CJ, Zhou JL, Zhao YP. Ileal duplication mimicking intestinal intussusception: a congenital condition rarely reported in adult. World J Gastroenterol. 2013;19(38):6500-4.
Nussbaum DP, Bhattacharya SD, Jiang X, Cardona DM, Strickler JH, Blazer DG, 3rd. Gastroesophageal heterotopia and HER2/neu overexpression in an adenocarcinoma arising from a small bowel duplication. Arch Pathol Lab Med. 2014;138(3):428-31.
Kim HS, Sung JY, Park WS, Kim YW. An ileal duplication cyst manifested as an ileocolic intussusception in an adult. Turk J Gastroenterol. 2014;25 Suppl 1:196-8.
Park JY, Her KH, Kim BS, Maeng YH. A completely isolated intestinal duplication cyst mimicking ovarian cyst torsion in an adult. World J Gastroenterol. 2014;20(2):603-6.
Martinez-Alcala Garcia F, Perez Pozo JM, Martinez-Alcala Garcia A, Ciria Avila JA, Martinez Alcala F. [Duodenal duplication cyst and its endoscopic resolution]. Gastroenterol Hepatol. 2014;37(4):274-5.
Furuya K, Hada M, Sugai H, Miyasaka Y, Nakagomi H, Oyama T, et al. Gastrointestinal stromal tumor arising in an ileal duplication: report of a case. Surg Today. 2012;42(12):1234-9.
Miloudi N, Mzoughi Z, Ben Abid S, Sabbagh S, Arfa N, Khalfallah MT. [Duodenal duplication treated surgically]. La Tunisie medicale. 2012;90(11):837-8.
Palacios A, De Vera M, Martinez-Escoriza JC. Prenatal sonographic findings of duodenal duplication: case report. J Clin Ultrasound. 2013;41 Suppl 1:1-5.
Antaki N, Abboud D, Lemmers A, Antaki F, Deviere J. Acute recurrent pancreatitis secondary to the rare association of a duodenal duplication cyst and a pancreas divisum. Clin Res Hepatol Gastroenterol. 2013;37(1):e32-6.
Kusnierz K, Pilch-Kowalczyk J, Gruszczynska K, Baron J, Lucyga M, Lampe P. A duodenal duplication cyst manifested by duodenojejunal intussusception and chronic pancreatitis. Surgery. 2014;156(3):742-4.
Cheng CL, Liu NJ, Yu MC. Intraluminal tubular duodenal duplication with bleeding. Clin Gastroenterol Hepatol. 2014;12(2):e10-1.
Kurien RT, Chowdhury SD, Unnikrishnan LS, Simon EG, Dutta AK, Mahanta K, et al. Endoscopic treatment of a duodenal duplication cyst. Endoscopy. 2014;46 Suppl 1 UCTN:E583-4.
Kachi A, Haddad F, Geagea A, Tohmeh MJ. Unusual case of jejunal duplication in a 64-year-old female. J Med Liban. 2016;64(1):50-3.
Gupta A, Chakaravarthi K, Pattnaik B, Kaman L. Duplication cyst of ileum presenting as acute intestinal obstruction in an adult. BMJ Case Rep. 2016;2016.
Inoue K, Sakiyama T, Setoyama K, Iwashita Y, Saito S, Hanada N, et al. [Jejunal duplication in an adult presenting with hematochezia]. Nihon Shokakibyo Gakkai Zasshi. 2016;113(4):662-71.
Fuyou H, Hong Y, Yan S. The diagnosis and classification of intestinal duplication. Chinese Journal of Pediatric Surgery. 1997;18(2):91-3. Available from: http://eng.med.wanfangdata.com.cn/PaperDetail.aspx?qkid=xrwk&qcode=xrwk199702010# Accessed in 2017 (Sep 6).
Sinha A, Ojha S, Sarin YK. Completely isolated, noncontiguous duplication cyst. Eur J Pediatr Surg. 2006;16(2):127-9.
Nadatani Y, Watanabe T, Sugawa T, Eguchi S, Shimada S, Otani K, et al. Double-balloon endoscopy WAS effective in diagnosing small intestinal duplication: a case report. SpringerPlus. 2016;5(1):1598.
Ogino H, Ochiai T, Nakamura N, Yoshimura D, Kabemura T, Kusumoto T, et al. Duplication cyst of the small intestine found by double-balloon endoscopy: a case report. World J Gastroenterol. 2008;14(24):3924-6.
Schwesinger WH, Croom RD, 3rd, Habibian MR. Diagnosis of an enteric duplication with pertechnetate 99mTc scanning. Ann Surg. 1975;181(4):428-30.
