ILEAL INTESTINAL DUPLICATION, COMPLICATED BY RECURRENT INTESTINAL BLEEDING AND INTESTINAL OBSTRUCTION. CLINICAL OBSERVATION


Cite item

Full Text

Abstract

The aim is a demonstration of a rare clinical observation of cystic ileal duplication with a complex diagnostic search of the common source of recurrent bleedings. The boy of 7 years was on the treatment at the Research Institute of Emergency Pediatric Surgery and Traumatology due to frequent recurrent gastrointestinal bleeding. There was performed a comprehensive examination, including laboratory and instrumental methods: common blood and urine test, biochemical blood tests, x-rays of the abdomen, scintigraphy, ultrasound of the abdominal organs, esophagogastroduodenoscopy, colonoscopy, video capsule endoscopic study. Results. The complex diagnostic search was performed. On the basis of the video capsule endoscopic examination and radiography of the abdominal cavity there was suspected the cystic duplication of the ileum with ulcerative defects as the source of bleeding. Upon completion of the examination and relief of post-hemorrhagic anemia there was executed the surgical treatment with resection of the changed area of the intestine and anastomosis “end to end”. The postoperative period was uneventful. Conclusion. Recurrent intestinal bleedings and bowel obstruction can be a complication of such rare malformation of the intestinal tube as the intestinal duplication. The use of modern diagnostic and surgical technology provides timely and minimally invasive treatment that leads to the rapid patient recovery, decline in overall costs and the cost of treatment.

About the authors

O. V. Karaseva

Research Institute of Emergency Pediatric Surgery and Traumatology

Author for correspondence.
Email: noemail@neicon.ru
Russian Federation

A. Yu. Kharitonova

Research Institute of Emergency Pediatric Surgery and Traumatology

Email: anastesia08@mail.ru
Russian Federation

A. L. Gorelik

Research Institute of Emergency Pediatric Surgery and Traumatology

Email: noemail@neicon.ru
Russian Federation

A. N. Kislyakov

Research Institute of Emergency Pediatric Surgery and Traumatology

Email: noemail@neicon.ru
Russian Federation

M. I. Kovalenko

Research Institute of Emergency Pediatric Surgery and Traumatology

Email: noemail@neicon.ru
Russian Federation

References

  1. Баиров Г.А. Срочная хирургия детей: руководство для врачей. СПб: Питер Пресс; 1997.
  2. Журило И.П., Фоменко С.А., Литовка В.К., Перунский В.П., Лепихов П.А., Гунькин А.Ю. Редкие варианты удвоения пищеварительного тракта у детей. Вестник неотложной и восстановительной медицины. 2011; 12(2): 177-82.
  3. Хамараев А.Ж., Набиев С.Н., Талипов С.С., Каримов И.М., Акрамов Ф.А. Тотальное удвоение толстой кишки у 2-летней девочки. Детская хирургия. 2009; 5: 45-6.
  4. Аскельров М.А., Киргизов И.В., Цап Н.А., Абушкин И.А., Смоленцев М.М., Емельянова В.А. Детская хирургия. 2017; 21(3): 165-6.
  5. Bond S.J., Groff D.B. Gastrointestinal Duplications. In: Pediatric Surgery. St. Louis: Mosby; 1998: 1257-67
  6. Машков А.Е., Пыхтеев Д.А., Сигачев А.В., Щербина В.И., Гаганов Л.Е. Детская хирургия. 2015; 19(6): 55-6
  7. Okamoto T., Takamizawa S., Yokoi А. et al. Completely isolated alimentary tract duplication in neonate. Pediatr. Surg. 2008: 24(10): 1145-7.
  8. Stringer M.D. Gastrointestinal duplications. In: Pediatric Surgery. Berlin: Springer-Vertlag; 2006: 239-56.
  9. Toth E., Lillienau J., Ekelund M., Alumets J., Olsson R., Thorlacius H. Ulcerated small-intestine duplication cyst: an unusual source of GI bleeding revealed by wireless capsule endoscopy. Gastrointest. Endosc. 2006; 63(1): 192-4
  10. Gay G., Delvaux M., Rey J.F. The role of video capsule endoscopy in the diagnosis of digestive diseases. Endoscopy. 2004; 36(10): 913-20.

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

Copyright (c) 2018

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies