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[A propos a case of intestinal duplication in an adult (author's transl)]
Insights
A rare adult case of rectal hemorrhage was diagnosed as intestinal duplication, a congenital malformation typically seen in children. This finding highlights the importance of considering uncommon causes for gastrointestinal bleeding in adults.
Area of Science:
- Gastroenterology
- Pediatric Surgery
- Medical Imaging
Background:
- Intestinal duplications are rare congenital anomalies, typically presenting in infancy or childhood.
- Adult presentations are uncommon, often leading to delayed diagnosis.
- Rectal hemorrhage can be a rare presenting symptom in adults with intestinal duplications.
Observation:
- A 26-year-old patient presented with significant rectal hemorrhage.
- Radiographic imaging (Roentgenograms) identified an intestinal duplication as the source of bleeding.
- The rarity of this congenital malformation in adults was noted.
Findings:
- The case underscores that intestinal duplications, though rare in adults, can manifest with gastrointestinal bleeding.
- Histological examination and embryological review are crucial for understanding these malformations.
- Differential diagnosis must include isolated diverticula of the digestive tract.
Implications:
- This case expands the known clinical spectrum of intestinal duplications.
- It emphasizes the need for thorough diagnostic evaluation in adults with unexplained rectal bleeding.
- Further research into the embryogenesis and long-term outcomes of adult intestinal duplications is warranted.
Abstract:
The authors report the case of a 26 year-old patient presenting with rectal hemorrhage. Roentgenograms showed the origin of this was an intestinal duplication. This congenital malformation is very rare in adults as it usually appears during childhood. Then comes an appraisal of the clinical signs, the histology, the embryology and the differential diagnosis between the isolated diverticulum of the digestive tract and the duplication.