Abstract
The ileal loops are anatomical location for the majority of congenital anomalies affecting the gastrointestinal tract. These include Meckel’s diverticulum, ileal duplication, dysgenesis, atresia, mucosal diaphragm, and malposition of the ileum. Symptomatic lesions that often present with abdominal pain, intestinal obstruction or bleeding are usually diagnosed and treated during infancy and childhood. However, many of these congenital conditions may remain clinically silent and detected incidentally in adults undergoing radiological evaluation for unrelated medical reasons. This article presents the spectrum of the congenital ileal anomalies and their distinct features on small bowel examination and CT of the abdomen.
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References
Hounnou G, Destrieux C, Desme J, et al (2002) Anatomical study of the length of the human intestine. Surg Radiol Anat 24: 290-294.
Raines D, Arbour A, Thompson HW, et al (2015) Variation in small bowel length: factor in achieving toral enteroscopy? Dig Endosc 27: 67-72.
Clark JK, Paz DA, Ghahremani GG (2014) Imaging of Meckel’s diverticulum in adults: pictorial essay. Clin Imaging 38: 557-564.
Vaos G, Misiakos EP (2010) Congenital anomalies of the gastrointestinal tract diagnosed in adulthood- diagnosis and management. J Gastrointest Surg 14: 916-925.
Inarejos Clemente EJ, Navarro OM, Irujo MN, et al (2021) Omphalomesenteric duct anomalies in children: a multimodality overview. RadioGraphics 41: 2090-2110.
Subbarayan D, Singh M, Khurana N, Sathish A (2015) Histomorphological features of intestinal atresia and its clinical correlation. J Clin Diagn Res 9 (11): EC26-29.
Javors BR, Gold RP, Ghahremani GG, et al (1995) Idiopathic. Localized dilatation of the ileum in adults: findings on barium studies. AJR 164: 87-90.
Jung C, Hugot JP, Barreau F (2010) Peyer’s patches: the immune sensors of the intestine. Int J Inflam 2010:823710.
Platon A, Gervaz P, Becker CD, et al (2010) Computed tomography of complicated Meckel’s diverticulum in adults: a pictorial review. Insights Imaging 1: 53-61.
Elsayes KM, Menias CO, Harvin HJ, Francis IR (2007) Imaging manifestations of Meckel’s diverticulum. AJR 189: 81-88.
Ren B, Jia X, Li L (2015) Intestinal obstruction due to axial torsion of a giant Meckel’s diverticulum: a case report. Int J Colorectal Dis 30: 1133-1134.
Luu AM, Meurer K, Herzog T et al (2016) Small bowel obstruction due to a giant Meckel’s diverticulum. Visc Med 32: 434-436.
Akbulut S, Yagmur Y (2014) Giant Meckel’s diverticulum: an exceptional cause of intestinal obstruction. World J Gastrointest Surg 6: 47-50.
Van Malderen K, Vijayvargiya P, Camilleri M, et al (2018) Malignancy and Meckel’s diverticulum: a systematic literature review and 14-year experience at a tertiary referral center. United Euro Gastroenterol 6:739-747.
Kabir SA, Raza SA, Kabir SI (2019) Malignant neoplasms of Meckel’s diverticulum; an evidence-based review. Ann Med Surg 43: 75-81.
Okino Y, Kiyosue H, Mori H, et al (2001) Root of the small-bowel mesentery: correlative anatomy and CT features of pathologic conditions. RadioGraphics 21: 1475-1490.
Baldisserotto M, Meffazzoni DR, Dora MD (2003) Sonographic findings of Meckel’s diverticulitis in children. AJR 180: 425-428.
Yang JG, Yin CH, Li CL, Zou LF (2010) Meckel’s diverticulum and intestinal duplication detected by Tc-99m pertechnetate scintigraphy. Clin Nucl Med 35: 275-276.
Nebot CS, Salvador RL, Palacios EC, et al (2018) Enteric duplication cyst in children: varied presentations, varied imaging findings. Insight Imaging 9: 1097-1106.
Puligandla PS, Nguyen LT, St-Vil D, et al (2003) Gastrointestinal duplications. J Pediatr Surg 38: 740-744.
Gandhi D, Garg T, Shah J, et al (2022) Gastrointestinal duplication cysts: what a radiologist needs to know. Abdom Radiol 47: 13-27.
Fiorani C, Scaramuzzo R, Lazzaro A, et al (2011) Intestinal duplication in adulthood: a rare entity, difficult to diagnose. World J Gastrointest Surg 3: 128-130.
Lee NK, Kim S, Jeon TY, et al (2010) Complications of congenital and developmental anomalies of the gastrointestinal tract in adolescents and adults: evaluation with multimodality imaging. RadioGraphics 30: 1489-1507.
Matsumoto Y, Tohma T, Miyauchi H, et al (2015) A case of giant ileal duplication in an adult, successfully treated with laparoscope-assisted surgery. Surg Case Rep 1: 10.
Alenizi EK, Alfeeli MA (2008) Intestinal duplication mimicking Meckel’s diverticulum. Clin Nucl Med 33: 189-190.
Hamza A, Bicaj BX, Kurshumliu F, et al. (2016) Mesenteric Meckel’s diverticulum or intestinal duplication cyst: a case report with review of literature. Internat J Surg Case Rep 26: 50-52.
Habib K, Khan M, Sheehan AL, Coker O (2009) Adenocarcinoma in ileal duplication cyst: case report and review of literature. Cent Eur J Med 4: 374-378.
Furuya K, Hada M, Sugai H, et al (2012) Gastrointestinal stromal tumor arising in an ileal duplication: report of a case. Surgery Today 42: 1234-1239.
Oberhelman AP, Herman TE, McAlister WH, et al (2007) CT manifestations of ileal dysgenesis. Pediatr Radiol 37: 209-212.
Dillman JR, Neef HC, Ehrlich PF, et al (2012) Ileal dysgenesis coexisting with multiple enteric duplication cysts in a child: MR enterography, CT, and Meckel scan appearances. Pediatr Radiol 42: 1517-1522.
Usselman JA, Ghahremani GG, Bordin GM, et al (1981) Idiopathic localized dilatation of the ileum in adults. Gastrointest Radiol 6: 313-317.
Maizlin ZV, Brown JA, Buckley MRE, et al (2006) Case of the season: aneurysmal dilatation of the small bowel (not only lymphoma) Semin Roentgenol 41: 248-249.
Jasti R, Carucci LR (2020) Small bowel neoplasms: a pictorial review. RadioGraphics 40: 1020-1038.
Davis JS, Ryan ML, Shields JM, et al (2012) Segmental absence of intestinal musculature: an increasingly reported pathology. J Pediatr Surg 47: 1566-1571.
Nawar NA, Sawyer PR (2016) Segmental absence of intestinal musculature in a 64-year-old female: case report and literature review. Am J Case Rep 17: 749-754.
Tamai M, Satoh M, Tsujimoto A (2013) Segmental muscular defects of the intestine: a possible cause of spontaneous perforation of the bowel in adults. Hum Pathol 44:m 2643-2650.
Burjonrappa S, Crete E, Bouchard S (2011) Comparative outcomes in intestinal atresia: a clinical outcome and pathophysiology analysis. Pediatr Surg Int 27: 437-442.
Aggerwal N, Sugandhi N, Kour H, et al (2019) Total intestinal atresia: revisiting the pathogenesis of congenital atresias. J Indian Assoc Pediatr Surg 24: 303-306.
Stollman TH, deBlaauw I, Wijnen MH (2009) Decreased mortality but increased morbidity in neonates with jejunoileal atresia: a study of 114 cases over a 34-year period. J Pediatr Surg 44: 217-221.
Virgone C, D’antonio F, Khalil A, et al (2015) Accuracy of prenatal ultrasound in detecting jejunal and ileal atresia: systematic review and meta-analysis. Ultrasound Obstet Gynecol 45: 523-529.
Levesque HP, Ciricillo DR, Sylvestre J, et al (1983) Mucosal diaphragm and enteroliths of the small bowel causing obstruction in an adult. Am J Gastroenterol 78: 593-595.
Munden RF, Schabel SI (1993) Acquired microileum: a companion to microcolon? J Clin Gastroenterol 16: 344-345.
Lo WC, Wang CR, Lim KE (1998) Microcolon in neonates: clinical and radiographic appearance. Clin Neonatol 5: 14-18.
Agha FP, Jenkins JJ (1983) Ileal mucosal diaphragm causing small bowel obstruction. Gastrointest Radiol 8: 57-59.
Pederson WC, Sirinek KR, Schwesinger WH, Levine BA (1984) Gastric outlet obstruction secondary to antral mucosal diaphragm. Digest Dis Sci 29: 86-90.
Lin HH, Lee HC, Yeung CY, et al (2012) Congenital webs of the gastrointestinal tract: 20 years of experience from a pediatric care teaching hospital in Taiwan. Pediatr Neonatol 53: 12-17.
Wang ML, Mia F, Tang YH, et al (2011) Special diaphragm-like strictures of small bowel unrelated to non-steroidal anti-inflammatory drugs. World J Gastroenterol 17: 3596-3604.
Velchuru VR, Rimal D, Studley JGN, Sturzaker HG (2006) Diaphragm disease of the ileum. Int J Surg 4: 184-186.
Flicek KT, Hara AK, Petris GD, et al (2014) Diaphragm disease of the small bowel: a retrospective review of CT findings. AJR 202: W140-145.
Pickhardt PJ, Bhalla S (2002) Intestinal malrotation in adolescents and adults: spectrum of clinical and imaging features. AJR 179: 1429-1435.
Ghahremani GG (2000) Abdominal and pelvic hernias. In Gore RM and Levine MS: Textbook of Gastrointestinal Radiology.2nd Edition, WB Saunders, Philadelphia, pages 1993-2009.
Aggarwal BK, Rajan S, Aggarwal A, et al (2004) CT diagnosis of Meckel diverticulum in a paracolic internal hernia. Abdom Imaging 30: 56-59.
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Ghahremani, G.G. Imaging congenital anomalies of the ileum in adults:a pictorial review. Abdom Radiol 48, 502–509 (2023). https://doi.org/10.1007/s00261-022-03739-3
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DOI: https://doi.org/10.1007/s00261-022-03739-3