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Enteric duplication in children: clinical presentation and outcome

Naima Rasool1, Chaudhry Aqeel Safdar, Asrar Ahmad

  • 1Department of Paediatric Surgery, Military Hospital, The Mall, Rawalpindi 54600, Pakistan. dr_naima_r@yahoo.com

Singapore Medical Journal
|July 4, 2013
PubMed

Insights

Enteric duplications (ED) are rare congenital anomalies. This study highlights varied presentations, diagnostic methods like MRI, CT, and Meckel

Area of Science:

  • Pediatric Surgery
  • Congenital Anomalies
  • Gastrointestinal Disorders

Background:

  • Enteric duplication (ED) is a congenital anomaly affecting the alimentary tract.
  • Diagnosis often necessitates surgical resection of the affected segment.
  • Understanding ED's spectrum is crucial for effective management.

Purpose of the Study:

  • To evaluate clinical presentations of enteric duplications.
  • To assess diagnostic investigations for ED.
  • To analyze management strategies and outcomes in ED patients.

Main Methods:

  • Retrospective analysis of medical records (2005-2011).
  • Inclusion of nine pediatric patients diagnosed with ED.
  • Data collection on age, presentation, investigations, surgical procedures, and outcomes.

Main Results:

  • Nine patients (3 months-5 years) with ED were managed.
  • Common presentations included abdominal mass and rectal bleeding.
  • MRI and CT were primary diagnostic tools; Meckel's scan accurate in 3 cases.
  • All EDs resected with no major complications; patients event-free post-surgery.

Conclusions:

  • ED should be considered in pediatric patients with abdominal mass and rectal bleeding.
  • Meckel's scan is valuable for diagnosing ED presenting with bleeding.
  • Timely diagnosis and surgical intervention lead to favorable outcomes.
Abstract

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