Author:
Zhang Zhicheng,Huang Xiaowei,Chen Qian,Li Demin,Zhou Qi,Huang Jinjin,Feng Yongdong,Hu Junbo,Qin Hua
Abstract
Abstract
Background
Small intestine duplication cysts (SIDCs) are rare congenital anatomical abnormalities of the digestive tract and a rare cause of hematochezia.
Case presentation
We describe an adult female presented with recurrent hematochezia. The routine gastric endoscope and colonic endoscope showed no positive findings. Abdominal CT scan indicated intussusception due to the "doughnut" sign, but the patient had no typical symptoms. Two subsequent capsule endoscopes revealed a protruding lesion with bleeding in the distal ileum. Surgical resection was performed and revealed a case of SIDC measuring 6 * 2 cm located inside the ileum cavity. The patient remained symptom-free throughout a 7-year follow-up period.
Conclusion
SIDCs located inside the enteric cavity can easily be misdiagnosed as intussusception by routine radiologic examinations.
Publisher
Springer Science and Business Media LLC
Subject
Gastroenterology,General Medicine
Reference30 articles.
1. Patiño Mayer J, Bettolli M. Alimentary tract duplications in newborns and children: diagnostic aspects and the role of laparoscopic treatment. World J Gastroenterol. 2014;20:14263–71. https://doi.org/10.3748/wjg.v20.i39.14263.
2. Macpherson RI. Gastrointestinal tract duplications: clinical, pathologic, etiologic, and radiologic considerations. Radiographics. 1993;13:1063–80. https://doi.org/10.1148/radiographics.13.5.8210590.
3. Liu R, Adler DG. Duplication cysts: Diagnosis, management, and the role of endoscopic ultrasound. Endosc Ultrasound. 2014;3:152–60. https://doi.org/10.4103/2303-9027.138783.
4. Gross RE, Holcomb GW, Farber S. Duplications of the alimentary tract. Pediatrics. 1952;9:448–68.
5. Kuo H-C, Lee H-C, Shin C-H, Sheu J-C, Chang P-Y, Wang N-L. Clinical spectrum of alimentary tract duplication in children. Acta Paediatr Taiwan. 2004;45:85–8.
Cited by
4 articles.
订阅此论文施引文献
订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献