An unusual presentation of intestinal duplication mimicking torsion of Meckel's diverticulum: a rare report of a pediatric case

被引:2
作者
Matsukubo, Makoto [1 ]
Muto, Mitsuru [1 ]
Kedoin, Chihiro [1 ]
Matsui, Mayu [1 ]
Murakami, Masakazu [1 ]
Sugita, Koshiro [1 ]
Yano, Keisuke [1 ]
Onishi, Shun [1 ]
Harumatsu, Toshio [1 ]
Yamada, Koji [1 ]
Yamada, Waka [1 ,2 ]
Kaji, Tatsuru [3 ]
Ieiri, Satoshi [1 ]
机构
[1] Kagoshima Univ, Dept Pediat Surg, Res Field Med & Hlth Sci, Med & Dent Area,Res & Educ Assembly, 8-35-1 Sakuragaoka, Kagoshima 8908520, Japan
[2] Kagoshima Univ Hosp, Clin Training Ctr, Kagoshima, Japan
[3] Kurume Univ, Dept Pediat Surg, Sch Med, Kurume, Fukuoka, Japan
关键词
Enteric duplication; Intestinal duplication; Torsion; Meckel's diverticulum; Acute abdomen; EXPERIENCE;
D O I
10.1186/s40792-022-01409-6
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background Enteric duplication is a congenital disease that occurs throughout the entire gastrointestinal tract. Although it may sometimes cause intestinal volvulus, a few reports have described cases of enteric duplication twisted on itself. We experienced a rare pediatric case of long-segment tubular ileal duplication showing torsion. Torsion of enteric duplication is extremely rare. We herein report a pediatric case showing unusual torsion of ileal duplication requiring emergency surgery. Case presentation A 3-year-old boy presented with abdominal pain and vomiting. Contrast-enhanced computed tomography (CT) revealed a cystic luminal structure with a blind end and fluid collection in the pelvic cavity. CT also showed no findings of ileus or intestinal dilatation except for a cystic luminal structure. The preoperative diagnosis was torsion of Meckel's diverticulum. The patient underwent emergent explorative diagnostic laparoscopy. As a result, a necrotic luminal structure and bloody ascites were recognized, and small-scale laparotomy was performed. Long-segment ileal duplication was recognized. The long-segment tubular ileal duplication shared the anti-mesenteric side of the intestinal wall along one-third of its length. The residual two-thirds of its length was free from the ileum and its blind end was twisted in a manner that looked similar to Meckel's diverticulum. Normal ileum and the duplication, including the twisted necrotic portion, were resected, and ileal anastomosis was performed. The postoperative course was uneventful. A pathological examination confirmed the definitive diagnosis of enteric duplication. Conclusions We reported the unusual presentation of intestinal duplication mimicking torsion of Meckel's diverticulum. Enteric duplication shows various clinical symptoms and presentations. We must understand that the classification of digestive enteric duplication is diverse with a variety of associated clinical symptoms.
引用
收藏
页数:6
相关论文
共 50 条
  • [21] Scintigraphic pattern of intestinal duplication on a Meckel's diverticulum scan
    Omar, AM
    Al-Saee'd, TA
    Elgazzar, A
    [J]. CLINICAL NUCLEAR MEDICINE, 1998, 23 (10) : 708 - 709
  • [22] Axial Torsion and Gangrene: An Unusual Complication of Meckel's Diverticulum
    Bin Ajmal, Hassan
    Majid, Zainab
    Tahir, Faryal
    Sagheer, Saima
    [J]. CUREUS JOURNAL OF MEDICAL SCIENCE, 2020, 12 (01)
  • [23] Littre's Hernia: Unusual Presentation of a Meckel's Diverticulum
    Hurtado-Pardo, Luis
    Navasquillo-Tamarit, Mireia
    Alvarez-Sarrado, Eduardo
    Garcia-Pastor, Providencia
    [J]. INDIAN JOURNAL OF SURGERY, 2022, 84 (03) : 574 - 575
  • [24] Littre’s Hernia: Unusual Presentation of a Meckel’s Diverticulum
    Luis Hurtado-Pardo
    Mireia Navasquillo-Tamarit
    Eduardo Álvarez-Sarrado
    Providencia García-Pastor
    [J]. Indian Journal of Surgery, 2022, 84 : 574 - 575
  • [25] A rare case of small bowel obstruction caused by Meckel's diverticulum: case report
    Najm, Mahmoud
    Kelzia, Aya
    Arnaout, Ibrahim
    Kadoura, Lama
    Ghazal, Ahmad
    [J]. JOURNAL OF SURGICAL CASE REPORTS, 2023, 2023 (06):
  • [26] An unusual case in which a perforated Meckel's diverticulum became trapped in a pericecal hernia: A rare complication of Meckel's diverticulum
    Yanagisawa, Satohiko
    Morikawa, Yasuhide
    Kato, Mototoshi
    [J]. JOURNAL OF PEDIATRIC SURGERY CASE REPORTS, 2015, 3 (05) : 185 - 189
  • [27] Double simultaneous intussusception caused by Meckel's diverticulum and intestinal duplication in a child
    Yu, Mingming
    Fang, Zhihong
    Shen, Jun
    Zhu, Xiaomin
    Wang, Dafeng
    Shi, Yingzuo
    [J]. JOURNAL OF INTERNATIONAL MEDICAL RESEARCH, 2018, 46 (08) : 3427 - 3434
  • [28] Torsion of Meckel's diverticulum as a cause of small bowel obstruction: A case report
    Murruste, Marko
    Rajaste, Geidi
    Kase, Karri
    [J]. WORLD JOURNAL OF GASTROINTESTINAL SURGERY, 2014, 6 (10): : 204 - 207
  • [29] Meckel's diverticulum axial torsion: A rare complication case report of a 5-year-old girl
    Kafshgari, Ramin
    Majd, Amirmohamad Rezaei
    Ledari, Ali Taherinezhad
    [J]. INTERNATIONAL JOURNAL OF SURGERY CASE REPORTS, 2023, 103
  • [30] Perforation of Meckel's diverticulum by an unusual foreign body: A case report and a review of literature
    Salguero, Sara Elizabeth Milla
    Medina, Enrique Adalberto
    Murillo, Alejandra Hause
    Dominguez, Eduardo Smelin Perdomo
    [J]. CLINICAL CASE REPORTS, 2024, 12 (08):