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Updated: Jul 19, 2026
Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
[Duplication of the terminal ileum--a case review]
1I. chirurgická klinika LF UP a FN v Olomouci. szkorupm@fnol.cz
Insights
Gastrointestinal tract duplications are rare congenital anomalies, often diagnosed in childhood but sometimes presenting in adulthood with urgent abdominal symptoms. This case review focuses on a pediatric terminal ileum duplication causing intestinal obstruction.
Area of Science:
- Gastroenterology
- Pediatric Surgery
- Developmental Biology
Background:
- Gastrointestinal tract duplications are uncommon congenital malformations affecting the digestive system.
- While most frequently found in the small intestine, they can occur anywhere along the GI tract.
- Diagnosis typically occurs in early childhood, but asymptomatic cases may present later in life.
Observation:
- Symptoms often manifest as urgent abdominal conditions, including intestinal obstruction, perforation, or bleeding.
- A rare association between GI duplications and carcinoma has been documented.
- The precise etiopathogenesis of these duplications remains unclear.
Findings:
- This case review details a pediatric patient with a terminal ileum duplication.
- The duplication presented with symptoms indicative of intestinal obstruction and intussusception.
- Surgical intervention is the established treatment for GI tract duplications.
Implications:
- Highlights the importance of considering GI duplications in the differential diagnosis of pediatric abdominal emergencies.
- Underscores the need for prompt surgical management to prevent complications.
- Contributes to the understanding of clinical presentations and management of ileal duplications.
Abstract:
Duplications of the gastorintestinal tract are fairly rare developmental anomalies. They may occur throughout the gastrointestinal tract, however, most commonly, they occur in the small intestine. They are usually diagnosed in early childhood, however, they may be asymptomatic first and cause symptoms as late as in adulthood. Symptoms of,,urgent abdominal conditions", ranging from symptoms of intestinal obstruction, perforation to symptoms of bleeding from the GIT, prevail. A rare finding of a carcinoma in the duplication has been recorded. The etiopathogenesis has not been fully understood. The treatment is surgical. The authors present a case-review of the terminal ileum duplication in a child with symptoms of intestinal obstruction, resp. invagination.
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