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Published on: February 28, 2025
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
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.
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