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[Intestinal cystic duplication in infants and the etiology of intussusception]
A Kasis1, E Sabo, J G Mogilner
1Dept. of Pathology, Bnai-Zion Medical Center, Technion Faculty of Medicine, Haifa.
Insights
Cystic duplication of the ileum caused intussusception in two infants. Surgical intervention is necessary as manual reduction is often unsuccessful in these cases.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Pathology
Background:
- Intussusception is a common surgical emergency in infants.
- Identifying the underlying cause is crucial for effective treatment.
Abstract:
2 infants, 3 months old and 8 months, respectively, with restlessness and vomiting were each found to have ileocolic intussusception with barium filling defects. Laparotomy disclosed in each a dome-shaped structure, 2 cm and 0.6 cm in greatest diameter, respectively, on the antimesenteric side of the ileal wall. Histological examination showed cystic duplication of the ileum. It is suggested that manual reduction generally fails when cystic duplication is an etiological factor, and surgery is then mandatory.
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