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[Severe hemorrhage intestinal in a child with ileal duplication and brief entity review]

S Castro-Castañeda1, M E Chávez-Delgado, F Cerda-Camacho

  • 1Especialista en Cirugía Pediátrica. Hospital General de Zona No. 89 del Instituto Mexicano del Seguro Social (IMSS) Jalisco, México.

Cirugia Pediatrica : Organo Oficial De La Sociedad Espanola De Cirugia Pediatrica
|October 8, 2005
PubMed

Insights

Intestinal duplications, rare congenital malformations, can cause severe gastrointestinal bleeding. Early diagnosis is crucial for managing complications like anemia and shock in affected children.

Area of Science:

  • Gastroenterology
  • Pediatric Surgery
  • Congenital Malformations

Context:

  • Intestinal duplications are rare congenital anomalies typically found along the small bowel's mesenteric border, often in the ileum.
  • While many patients present in infancy, others manifest symptoms later in childhood or adulthood.
  • The diverse and non-specific symptoms can mimic various other medical conditions.

Purpose:

  • To highlight the diagnostic challenges posed by intestinal duplications.
  • To emphasize the critical role of considering intestinal duplications in the differential diagnosis of pediatric gastrointestinal bleeding.
  • To report a case of a late-presenting intestinal duplication.

Summary:

  • A case study of an 11-year-old girl with recurrent massive gastrointestinal hemorrhage, anemia, and abdominal pain over 15 months is presented.
  • Initial investigations were inconclusive, but a Technetium-99m (Tc99m) scan revealed ectopic gastric mucosa, leading to laparotomy.
  • Surgical exploration identified an intestinal duplication in the terminal ileum as the source of bleeding.

Impact:

  • This case underscores the importance of including intestinal duplications in the differential diagnosis for unexplained gastrointestinal bleeding in children.
  • Accurate and timely diagnosis can prevent severe complications such as anemia and shock.
  • The findings contribute to the understanding of late-presenting intestinal duplications and their management.

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