A Case of Long Tubular Non-Communicating Intestinal Duplication in an Infant

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  • 乳児の広範囲非交通性管状型小腸重複症の1例
  • 症例報告 乳児の広範囲非交通性管状型小腸重複症の1例
  • ショウレイ ホウコク ニュウジ ノ コウハンイ ヒコウツウセイ カンジョウガタ ショウチョウ チョウフクショウ ノ 1レイ

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Abstract

The case is a 2-month-old girl. We performed emergency surgery at the age of 77 days because she presented with the symptom of mechanical ileus with bilious vomiting. At 100cm anal side from Treitz's ligament, a 75cm dilated tubular duplication that was adjacent to the collapsed normal intestine was present on the anti-mesenteric side. The duplication and adjacent normal intestine were removed, and an end-to-end anastomosis was performed. The patient left the hospital 9 days after the operation; she has been well and developed normally. The small intestine is the most common location for alimentary tract duplications, and most of them are of the cystic type. In general, surgical treatment of the alimentary tract duplication is complete resection of that with the adjacent normal intestine. It is considered that the resection of the duplicated intestine with the adjacent normal intestine is desirable as long as it is possible, even in a patient with a long tubular duplication such as our case, in order to prevent postoperative complications.

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