VARIETY OF GASTROINTESTINAL DUPLICATIONS IN CHILDREN: EXPERIENCE AT TERTIARY CARE HOSPITAL
DOI:
https://doi.org/10.55519/JAMC-01-8870Abstract
Background: Gastrointestinal duplication is a rare developmental anomaly that can be present anywhere along the GI tract, most often being found in ileum. The purpose of this study is to share our experience in evaluation of the presentation, investigations, management challenges and complications of patients with this very rare condition. Methods: This descriptive case series was conducted at the Department of Paediatric Surgery, National Institute of Child Health Karachi, Pakistan, from April 2018 to October 2019. Data was analysed with regard to age, clinical presentation, investigations, surgical procedures, site and type of lesion, histopathology, complications and outcomes. Results: A total of five patients were managed in one and half year. The patients’ ages ranged from antenatally diagnosed foetus to 12 years old child. New-born who presented with antenatal diagnosis of abdominal cyst turned out to have duodenal duplication cyst. Among other four were thoracoabdominal duplication cyst, gastric duplication, jejunal duplication and ileal duplication, last two presented with perforation. Other presentations were abdominal pain, swelling and vomiting. Diagnosis was made on clinical ground, x-ray of abdomen, ultrasound and computed tomography. All cysts were resected successfully and patients remained asymptomatic till one year follow up except one patient who expired postoperatively due to liver failure. Conclusion: Enteric duplication can present in variety of ways depending on anatomical location. Prompt diagnosis and complete excision of cyst is the aim of treatment. However, these rare types of duplication are a challenge to operating surgeons.References
Rowe MI, O’Neill JA, Grosfeld JL, Fonkalsrud EW, Coran AG. St. Louis, Mosby-Year Book. Inc.1995; p.446–61.
Puligandla PS, Nguyen LT, St-Vil D, Flageole H, Bensoussan AL, Nguyen VH, et al. Gastrointestinal duplications. J Pediatr Surg 2003;38(5):740–4.
Keramidas DC, Demetriades DM. Total tubular duplication of the colon and distal ileum combined with transmesenteric hernia: Surgical management and long-term-results. Eur J Pediatr Surg 1996;6(04):243–4.
Stringer MD, Spitz L, Abel R, Kiely E, Drake DP, Agrawal M, et al. Management of alimentary tract duplication in children. Br J SuEssentials of Pediatric Surgery.rg 1995;82(1):74–8.
Olajide AR, Yisau AA, Abdulraseed NA, Kashim IO, Olaniyi AJ, Morohunfade AO. Gastrointestinal duplications: experience in seven children and a review of the literature. Saudi J Gastroenterol 2010;16(2):105–9.
Jehangir S, Ninan PJ, Jacob TJ, Eapen A, Mathai J, Thomas RJ, et al. Enteric duplication in children: experience from a tertiary center in South India. J Indian Assoc Pediatr Surg 2015;20(4):174–8.
Rasool N, Safdar CA, Ahmad A, Kanwal S. Enteric duplication in children: clinical presentation and outcome. Singapore Med J 2013;54(6):343–6.
Liaqat N, Latif T, Khan FA, Iqbal A, Nayyar SI, Dar SH. Enteric duplication in children: a case series. Afr J Paediatr Surg 2014;11(3):211–4.
Tsai SD, Sopha SC, Fishman EK. Isolated duodenal duplication cyst presenting as a complex solid and cystic mass in the upper abdomen. J Radiol Case Rep 2013;7(11):32–7.
Stern LE, Warner BW. Gastrointestinal duplications. Semin Pediatr Surg 2000;9(3):135–40.
Malgras B, Souraud JB, Chapuis O. Retroperitoneal gastric duplication cyst. J Visceral Surg 2014;151(6):479–80.
Banchini F, Delfanti R, Begnini E, Tripodi MC, Capelli P. Duplication of the transverse colon in an adult: case report and review. World J Gastroenterol 2013;19(4):586–9.
Foley PT, Sithasanan N, McEwing R, Lipsett J, Ford WD, Furness M. Enteric duplications presenting as antenatally detected abdominal cysts: is delayed resection appropriate? J Pediatr Surg 2003;38(12):1810–3.
Keckler SJ, Holcomb GW. Alimentary tract duplications. In: Holcomb G, Murphy P, Autors. Ashcraft's pediatric surgery. 5th ed. Philadelphia: Saunders/Elsevier, 2010; p.517–25.
Ekbote G, Pokharkar AB, Moon P. A rare case of perforated tubular ileal duplication in 72-year-old male. Indian J Surg 2013;75(1):418–20.
Erginel B, Soysal FG, Ozbey H, Keskin E, Celik A, Karadag A, et al. Enteric Duplication Cysts in Children: A Single-Institution Series with Forty Patients in Twenty-Six Years. World J Surg 2017;41(2):620–4.
Ho YC. Total colorectal and terminal ileal duplication presenting as intussusception and intestinal obstruction. World J Gastroenterol 2012;18(43):6338–40.
Perveen S, Abdullah, Akhtar J. Tubular ileal duplication in an 8 month old infant. J Surg Pak 2018;23(2):83–5.
Kuraoka K, Nakayama H, Kagawa T, Ichikawa T, Yasui W. Adenocarcinoma arising from a gastric duplication cyst with invasion to the stomach: a case report with literature review. J Clin Pathol 2004;57(4):428–31.
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