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Gastrointestinal duplication masquerading as intussusception in an adult

Patricia Nguyen, Robert Azar, Greg Starley

    Journal of Surgical Case Reports
    |January 24, 2022
    PubMed

    Insights

    Gastrointestinal duplication, a rare congenital condition, often presents incidentally in adults. Surgical resection is recommended to prevent complications, as highlighted in a case of duplicated small bowel.

    Area of Science:

    • Gastroenterology
    • Pediatric Surgery
    • Congenital Abnormalities

    Background:

    • Gastrointestinal duplication is a rare congenital anomaly affecting the alimentary tract, often presenting incidentally in adults due to varied symptoms.
    • Also known as enteric duplication or alimentary tract duplication, it typically manifests in children but can be discovered incidentally in adults.

    Observation:

    • A young female presented with symptoms initially diagnosed as small bowel intussusception via CT scan.
    • During surgical exploration for presumed intussusception, a duplicated small bowel was unexpectedly discovered.

    Findings:

    • The case revealed a rare instance of gastrointestinal duplication, specifically a duplicated small bowel, in a young female patient.
    • The duplication was an incidental finding during surgery for a condition initially suspected to be intussusception.

    Implications:

    • This case underscores the importance of considering rare congenital anomalies like gastrointestinal duplication in surgical planning.
    • Early diagnosis and surgical resection of gastrointestinal duplications are crucial for preventing potential complications such as obstruction or malrotation.
    • Highlighting the incidental discovery of enteric duplication emphasizes the need for thorough intraoperative assessment, even when initial diagnoses seem clear.

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