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A Rare Case of Perforated Tubular Ileal Duplication in 72-Year-Old Male

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Abstract

Enteric duplication is a rare anomaly, which is common in pediatric population, and it is very rare in adults. Enteric duplication can occur anywhere from mouth to anus. Ileal duplication is the most common (30 %) followed by duodenum, stomach, jejunum, colon and rectum. Though most cases are presented within the first 2 years of life, some may present at later age. Here we report a case of a 72-year-old male presented to us in emergency as acute abdomen, which was presumptively diagnosed as ca rectosigmoid, but later the patient developed perforative peritonitis. On exploratory laparotomy he was diagnosed as a case of perforated ileal duplication cyst. Though these lesions are very rare, the importance of enteric duplication cysts lies in the fact that they can mimic many disease conditions and may be left untreated.

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References

  1. Fitz R. Persistent omphalomesenteric remains: their importance in the causation of intestinal duplication, cyst formation and obstruction. Am J Med Sci 1884;30–57.

  2. O’Neil J, Rowe M. Duplications of the gastrointestinal tract. In: Essentials of Pediatric Surgery. St. Louis, MO: MosbyYearbook. 1995: 520–525.

  3. Bentley JF, Smith JR (1960) Developmental posterior enteric remnants and spinal malformations: the split notochord syndrome. Arch Dis Child 35:76–86

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  4. Favara BE, Franciosi RA, Akers DR (1971) Enteric duplications. Thirty seven cases: a vascular theory of pathogenesis. Am J Dis Child 122:501–506

    Article  CAS  PubMed  Google Scholar 

  5. Puligandla PS, Nguyen LT, St-Vil D, Flageole H, Bensoussan AL, Nguyen VH et al (2003) Gastrointestinal duplications. J Pediatr Surg 38:740–744

    Article  CAS  PubMed  Google Scholar 

  6. Keramidas DC, Demetriades DM (1996) Total tubular duplicationof the colon and distal ileum combined with transmesenteric hernia; surgical management and long-term results. Eur J Pediatr Surg 6:243–244

    Article  CAS  PubMed  Google Scholar 

  7. Babu MS, Raza M (2008) Adenocarcinoma in an ileal duplication. JAPI 56:119–120

    PubMed  Google Scholar 

  8. Fotiadis C, Genetzakis M, Papandreou I, Misiakos EP, Agapitos E, Zografos GC (2005) Colonic duplication in adults: report of two cases presenting with rectal bleeding. World J Gastroenterol 11:5072–5074

    CAS  PubMed  Google Scholar 

  9. Deftereos S, Soultanidis H, Limas C et al (2004) Duodenal duplication. Is ultrasound appearance enough to confirm the diagnosis? Rom J Gastroenterol 13:345–347

    PubMed  Google Scholar 

  10. Kangarloo H, Sample WF, Hasen G, Robinson JS, Sarti D (1979) Ultrasonic evaluation of abdominal gastrointestinal tract duplication in children. Radiology 131:91–194

    Article  Google Scholar 

  11. Waterston T, Lyall MH, Longrigg N, Wisbey ML (1980) Diagnosis of intestinal duplication by 99Tcm-pertechnetate scanning. Br J Surg 67(6):419–420

    Article  CAS  PubMed  Google Scholar 

  12. Houdart R, Jian R, Galian A, Fauchet M, Lenormand Y, Hautefeuille M, Mundler O, Modigliani R (1984) Ileal duplication in adults. Value of 99 m pertechnetate scintigraphy. Gastroenterol Clin Biol 8(8–9):627–631

    CAS  PubMed  Google Scholar 

  13. Holcomb GW, Gheissari A, O’Neill JA Jr (1989) Surgical management of alimentary tract duplications. Ann Surg 209:167–172

    Article  PubMed Central  PubMed  Google Scholar 

  14. Johnson JA III, Poole GV (1994) Ileal duplications in adults presentation and treatment. Arch Surg 129(6):659–661

    Article  PubMed  Google Scholar 

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Correspondence to Ashish Balwant Pokharkar.

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Ekbote, G., Pokharkar, A.B. & Moon, P. A Rare Case of Perforated Tubular Ileal Duplication in 72-Year-Old Male. Indian J Surg 75 (Suppl 1), 418–420 (2013). https://doi.org/10.1007/s12262-012-0749-4

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  • DOI: https://doi.org/10.1007/s12262-012-0749-4

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