消化管重複症の3例

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  • Three Cases of Intestinal Duplication
  • ショウカカン チョウフクショウ ノ 3レイ

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Pre-operative diagnosis of intestinal duplication is not easy because of its varieties. We experienced 3 children with interesting intestinal duplication, only one of whom was diagnosed as the intestinal duplication pre-operatively. Case 1: Esophageal Duplication A three month old girl was presented with dyspnea and scoliosis. She was operated upon as a diagnosis of split notochord syndrome (esophageal duplication). Mediastinal duplication including intestinal mucosa was excised. The cyst had no communication with esophagus and subdural cavity. Post-operative course was uneventful. Case 2: Duodenal Duplication A four month old girl was presented with abdominal pain and an abdominal tumor. Cyst-jejunostomy was done as a diagnosis of choledochal cyst. At one year and two month of age she visited our hospital for the investigation of frequent rectal bleedings. Large cystic duplication which was communicated with jejunum at the first operation was successfully excised. Post-operative course was uneventful. The total resection of the duplication cyst seemed to be the best method for the duodenal duplication as for the choledocal cyst. Case 3: Ileocaecal Duplication A two day old boy was presented with rectal bleeding and vomiting. Ileocolic intussusception lead by the duplication cyst was found at operation. An uncommunicated cystic duplication was excised without resection of the valve. Post-operative course was uneventful.

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