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



如何引用文章

全文:

详细

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.

作者简介

O. Karaseva

Research Institute of Emergency Pediatric Surgery and Traumatology

编辑信件的主要联系方式.
Email: noemail@neicon.ru
俄罗斯联邦

A. Kharitonova

Research Institute of Emergency Pediatric Surgery and Traumatology

Email: anastesia08@mail.ru
俄罗斯联邦

A. Gorelik

Research Institute of Emergency Pediatric Surgery and Traumatology

Email: noemail@neicon.ru
俄罗斯联邦

A. Kislyakov

Research Institute of Emergency Pediatric Surgery and Traumatology

Email: noemail@neicon.ru
俄罗斯联邦

M. Kovalenko

Research Institute of Emergency Pediatric Surgery and Traumatology

Email: noemail@neicon.ru
俄罗斯联邦

参考

  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.

补充文件

附件文件
动作
1. JATS XML

版权所有 © , 2018

##common.cookie##