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Segmental intestinal dilatation associated with ileal gastric heterotopia in a young woman

Ngoc-Bao Le1, Nicole Rich2, Ryan C Johnson3

  • 1Department of Medicine, University of California San Francisco, San Francisco, USA.

Journal of Surgical Case Reports
|November 3, 2018
PubMed

Insights

Segmental intestinal dilatation (SID), a rare condition causing bowel obstruction, typically affects infants. This case highlights successful surgical treatment for SID in an adult presenting with chronic abdominal pain.

Area of Science:

  • Gastroenterology
  • Surgical Case Report

Background:

  • Segmental intestinal dilatation (SID) is a rare congenital gastrointestinal anomaly.
  • It typically presents in neonates and infants with symptoms of intestinal obstruction.
  • Definitive management involves surgical resection of the dilated segment.

Observation:

  • A 26-year-old female presented with chronic abdominal pain.
  • This presentation is unusual as SID predominantly affects pediatric populations.
  • The patient's symptoms suggested a possible intestinal obstruction.

Findings:

  • The patient was diagnosed with Segmental Intestinal Dilatation (SID).
  • Surgical resection of the affected bowel segment was performed.
  • Histopathological examination confirmed the diagnosis of SID.

Implications:

  • This case expands the known demographic of SID presentation to include adults.
  • It underscores the importance of considering SID in adult patients with chronic abdominal pain and obstructive symptoms.
  • Successful surgical management in this adult patient suggests a favorable prognosis with timely intervention.

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