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Published on: August 24, 2019
Acute abdomen secondary to complete tubular colonic duplication
Javier Castejón-Casado1, Ma Muñoz Miguelsanz1, E Moreno Diaz1
1Division of Pediatric Surgery, Hospital "Virgen de las Nieves", Granada, Spain.
Insights
A rare case of complete large intestine duplication in an infant caused acute abdomen and metabolic issues. Surgical treatment requires careful consideration of the unique anatomical challenges.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Malformations
- Congenital Anomalies
Background:
- Congenital anomalies of the gastrointestinal tract are diverse.
- Intestinal duplications are rare malformations with varied presentations.
- Complete duplication of the large intestine is exceptionally uncommon.
Observation:
- A 6-month-old infant presented with symptoms of acute abdomen.
- The infant also exhibited severe metabolic disturbances.
- Diagnostic imaging revealed a complete duplication of the large intestine.
Findings:
- The duplication presented unique morphological characteristics.
- Pathogenesis of this rare anomaly was explored.
- Surgical intervention posed significant challenges due to the anomaly's extent.
Implications:
- This case highlights the importance of considering rare congenital anomalies in infants with acute abdomen.
- Understanding the morphology and pathogenesis aids in diagnosis and surgical planning.
- Peculiarities in surgical treatment for complete large intestine duplication offer valuable insights for pediatric surgeons.
Abstract:
We report the case of a 6-month-old infant who presented with a complete duplication of the large intestine, debuting clinically with acute abdomen and severe metabolic disorders. We discuss the pathogenesis and morphology of the lesions, diagnostic difficulties and peculiarities of surgical treatment.
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