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Enteric duplications in children--an analysis of 6 cases
1Department of Pediatric Surgery, Keimyung University, Dongsan Medical Center, Taegu, Korea.
Insights
This study analyzed 6 pediatric patients with enteric duplications, finding most were cystic and located in the terminal ileum. Early diagnosis and surgical intervention are crucial for managing these congenital anomalies.
Area of Science:
- Pediatric Surgery
- Congenital Anomalies
- Gastrointestinal Development
Background:
- Enteric duplications are rare congenital malformations of the gastrointestinal tract.
- These duplications can lead to various clinical complications, including obstruction and intussusception.
Purpose of the Study:
- To analyze the clinical presentation, embryogenesis, and management of enteric duplications in pediatric patients.
- To review the surgical outcomes and identify key management strategies for enteric duplications.
Main Methods:
- Retrospective analysis of 6 pediatric patients diagnosed with enteric duplications over an 8-year period.
- Review of patient demographics, duplication characteristics (type, location), clinical symptoms, and treatment outcomes.
Main Results:
- Six patients (5 male) with enteric duplications were identified.
- All duplications were cystic and single, with locations including duodenum (1), jejunum (1), and terminal ileum (4).
- Five patients presented within their first year of life, with three neonates exhibiting intestinal obstruction and palpable masses.
Conclusions:
- Enteric duplications are predominantly cystic and frequently occur in the terminal ileum.
- Early presentation in infancy often involves intestinal obstruction, highlighting the need for prompt diagnosis.
- Surgical management is essential, with duplication cysts sometimes acting as leading points for intussusception.
Abstract:
This is an analysis of 6 patients with enteric duplications seen over an 8 year period at the Department of Pediatric Surgery, Dongsan Medical Center. They were all males but one. All duplications were cystic, and single except one. Locations of duplications were in the duodenum in one patient, in the jejunum in one, and in the terminal ileum in four. Five of the 6 patients were seen within 1 year of life. Three were newborn infants who had symptoms of intestinal obstruction with palpable mass since birth. Duplication cyst acted as a leading point of intussusception in 4 month and 8 month old infants respectively. One jejunal duplication was found in an 11-year-old boy who had malrotation of the midgut with Ladd's bands. Clinical presentation, embryogenesis of duplication, and management are discussed.