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Updated: Jun 25, 2026
04:00
Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension
Published on: November 15, 2024
[Hemorrhagic ascites revealing duodenal duplication]
L Gargouri1, C Martinez-Vinson, A Paye-Jaouen
1Service de gastroentérologie, hôpital Robert-Debré, Assistance publique-Hôpitaux de Paris, 75935 Paris cedex 19, France. abdelhedigargourilamia@yahoo.fr
Summary
Hemorrhagic ascites in infants can be caused by rare duodenal duplications. Resonance magnetic imaging aids diagnosis, and surgical resection is effective for this congenital gastrointestinal disorder.
Area of Science:
- Gastroenterology
- Pediatric Surgery
- Medical Imaging
Background:
- Duodenal duplication is a rare congenital gastrointestinal anomaly.
- Clinical presentation of duodenal duplication is highly variable.
- Hemorrhagic ascites is an uncommon manifestation in infants.
Observation:
- A 3-month-old female infant presented with symptomatic hemorrhagic ascites.
- Resonance magnetic imaging (RMI) was utilized for preoperative diagnosis.
- The imaging findings were consistent with duodenal duplication.
Findings:
- Surgical resection of the duodenal duplication was successfully performed.
- Histopathological examination confirmed the diagnosis of duodenal duplication.
- This case represents the first reported instance of hemorrhagic ascites due to duodenal duplication, diagnosed via RMI.
Implications:
- Highlights the diagnostic utility of RMI in complex pediatric gastrointestinal cases.
- Emphasizes duodenal duplication as a potential cause of hemorrhagic ascites in neonates and infants.
- Underscores the importance of surgical intervention for congenital duodenal anomalies.
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