An unusual presentation of intestinal duplication mimicking torsion of Meckel’s diverticulum: a rare report of a pediatric case
Abstract 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-seg...
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Japan Surgical Society
2022-03-01
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| Series: | Surgical Case Reports |
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| Online Access: | https://doi.org/10.1186/s40792-022-01409-6 |
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| author | Makoto Matsukubo Mitsuru Muto Chihiro Kedoin Mayu Matsui Masakazu Murakami Koshiro Sugita Keisuke Yano Shun Onishi Toshio Harumatsu Koji Yamada Waka Yamada Tatsuru Kaji Satoshi Ieiri |
| author_facet | Makoto Matsukubo Mitsuru Muto Chihiro Kedoin Mayu Matsui Masakazu Murakami Koshiro Sugita Keisuke Yano Shun Onishi Toshio Harumatsu Koji Yamada Waka Yamada Tatsuru Kaji Satoshi Ieiri |
| author_sort | Makoto Matsukubo |
| collection | DOAJ |
| description | Abstract 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. |
| format | Article |
| id | doaj-art-a0499c3f6d4a4e70bc6428f48c49c603 |
| institution | Matheson Library |
| issn | 2198-7793 |
| language | English |
| publishDate | 2022-03-01 |
| publisher | Japan Surgical Society |
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| series | Surgical Case Reports |
| spelling | doaj-art-a0499c3f6d4a4e70bc6428f48c49c6032025-08-02T15:21:38ZengJapan Surgical SocietySurgical Case Reports2198-77932022-03-01811610.1186/s40792-022-01409-6An unusual presentation of intestinal duplication mimicking torsion of Meckel’s diverticulum: a rare report of a pediatric caseMakoto Matsukubo0Mitsuru Muto1Chihiro Kedoin2Mayu Matsui3Masakazu Murakami4Koshiro Sugita5Keisuke Yano6Shun Onishi7Toshio Harumatsu8Koji Yamada9Waka Yamada10Tatsuru Kaji11Satoshi Ieiri12Department of Pediatric Surgery, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly, Kagoshima UniversityDepartment of Pediatric Surgery, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly, Kagoshima UniversityDepartment of Pediatric Surgery, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly, Kagoshima UniversityDepartment of Pediatric Surgery, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly, Kagoshima UniversityDepartment of Pediatric Surgery, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly, Kagoshima UniversityDepartment of Pediatric Surgery, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly, Kagoshima UniversityDepartment of Pediatric Surgery, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly, Kagoshima UniversityDepartment of Pediatric Surgery, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly, Kagoshima UniversityDepartment of Pediatric Surgery, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly, Kagoshima UniversityDepartment of Pediatric Surgery, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly, Kagoshima UniversityDepartment of Pediatric Surgery, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly, Kagoshima UniversityDepartment of Pediatric Surgery, Kurume University School of MedicineDepartment of Pediatric Surgery, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly, Kagoshima UniversityAbstract 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.https://doi.org/10.1186/s40792-022-01409-6Enteric duplicationIntestinal duplicationTorsionMeckel’s diverticulumAcute abdomen |
| spellingShingle | Makoto Matsukubo Mitsuru Muto Chihiro Kedoin Mayu Matsui Masakazu Murakami Koshiro Sugita Keisuke Yano Shun Onishi Toshio Harumatsu Koji Yamada Waka Yamada Tatsuru Kaji Satoshi Ieiri An unusual presentation of intestinal duplication mimicking torsion of Meckel’s diverticulum: a rare report of a pediatric case Surgical Case Reports Enteric duplication Intestinal duplication Torsion Meckel’s diverticulum Acute abdomen |
| title | An unusual presentation of intestinal duplication mimicking torsion of Meckel’s diverticulum: a rare report of a pediatric case |
| title_full | An unusual presentation of intestinal duplication mimicking torsion of Meckel’s diverticulum: a rare report of a pediatric case |
| title_fullStr | An unusual presentation of intestinal duplication mimicking torsion of Meckel’s diverticulum: a rare report of a pediatric case |
| title_full_unstemmed | An unusual presentation of intestinal duplication mimicking torsion of Meckel’s diverticulum: a rare report of a pediatric case |
| title_short | An unusual presentation of intestinal duplication mimicking torsion of Meckel’s diverticulum: a rare report of a pediatric case |
| title_sort | unusual presentation of intestinal duplication mimicking torsion of meckel s diverticulum a rare report of a pediatric case |
| topic | Enteric duplication Intestinal duplication Torsion Meckel’s diverticulum Acute abdomen |
| url | https://doi.org/10.1186/s40792-022-01409-6 |
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