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. 2011 Aug 27;3(8):128-30.
doi: 10.4240/wjgs.v3.i8.128.

Intestinal duplication in adulthood: A rare entity, difficult to diagnose

Cristina Fiorani  1 , Rosa Scaramuzzo, Alessandra Lazzaro, Livia Biancone, Giampiero Palmieri, Achille L Gaspari, Giuseppe Sica
Affiliations

Intestinal duplication in adulthood: A rare entity, difficult to diagnose

Cristina Fiorani et al. World J Gastrointest Surg. .

Abstract

Duplications of the alimentary tract (ATD) are rare congenital anomalies often found early in life. They may occur anywhere in the intestinal tract but the ileum is the most frequently affected site. Clinical presentation of ATD in adults is variable and because these lesions occur so infrequently they are rarely suspected. In the present report we describe a case of ileal duplication in a 61-year-old patient with Crohn's disease. Despite various radiological investigations and medical consultations, the diagnosis was only made on the surgical specimen.

Keywords: Abdominal pain; Adulthood; Intestinal duplication; Intestinal obstruction; Surgical resection.

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Figures

Figure 1
Figure 1
Small bowel follow through shows an ileal stricture associated with dilation above stenosis and suspected entero-enteric fistula at about 30 cm from the íleo-cecal valve. No conclusive diagnosis was made on the basis of this examination.
Figure 2
Figure 2
Entero-computed tomography showing a marked ileal dilatation, with no evidence of mucosal lesions or fistulae.
Figure 3
Figure 3
Histological section of the intestinal duplication at low magnification, showing the wall structure including the mucosa, the submucosa and the inner circular layer of the muscolaris própria (hematoxilin-eosin, original magnification 20 ×).
See this image and copyright information in PMC

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