Case report: Ileocecal preservation for multiple small intestinal duplications.

Area of Science:

• Pediatric Surgery
• Congenital Malformations
• Gastrointestinal Surgery

Background:

• Small intestinal duplications are rare congenital anomalies, often located in the ileocecal region.
• Complete resection is standard treatment, but preserving the ileocecal junction is challenging in pediatric cases.
• Multiple repairs increase risks like postoperative intestinal fistula.

Observation:

• A rare case of multiple small intestinal duplications near the ileocecal area in a child.
• Surgical challenge involved preserving the vital ileocecal junction.

Findings:

• Successful ileocecal preservation surgery was performed using laparoscopically assisted cyst excision.
• Multiple intestinal repairs were conducted, maintaining the integrity of the ileocecal junction.
• The child experienced good postoperative recovery and follow-up.

Implications:

• This approach offers a viable alternative for managing complex small intestinal duplications near the ileocecal region.
• Ileocecal preservation may reduce the risk of complications associated with extensive resections in pediatric patients.
• Demonstrates the feasibility of minimally invasive techniques for challenging congenital gastrointestinal anomalies.