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[Gastrointestinal system duplications in children (19 cases)]
Y Teklali1, N Kaddouri, M Barahioui
1Service de chirurgie viscérale infantile A, Hôpital d'enfants de Rabat, Maroc. youtek@hotmail.com
Summary
Digestive duplications in children are rare but require prompt diagnosis and surgical intervention. Early detection and treatment of these congenital anomalies are crucial to prevent complications.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Congenital Anomalies
Context:
- Digestive duplications represent a rare congenital condition in pediatric patients.
- These anomalies exhibit significant anatomoclinical polymorphism, complicating diagnosis.
- Clinical suspicion and radiological findings necessitate histological confirmation for definitive diagnosis.
Purpose:
- To review the clinical presentation, diagnostic methods, and surgical management of digestive duplications in children.
- To highlight the importance of early diagnosis and treatment in preventing complications.
Summary:
- A retrospective study of 19 children with digestive duplications managed between 1989 and 2001 was conducted.
- Common presentations included abdominal pain, mass, and transit disturbances, with diagnosis aided by ultrasonography and CT scans.
- Duplications were found in various locations, including the jejuno-ileum (12 cases), with surgical resection tailored to type and site. Ectopic mucosa (gastric and pancreatic) was identified histologically.
Impact:
- Early diagnosis and surgical treatment of digestive duplications are essential for optimal patient outcomes.
- This approach is vital in averting potential complications associated with this benign pathology.