Alimentary tract duplications in infancy and childhood. A 25-year experience with focus on rare types of the disease

• 作者: Dimitrios Papakonstantinou Efstratios Christianakis Khalil Ereikat Konstantinos Tsilikas Konstantinos Velaoras Nick Zavras
• 来源期刊: 儿科学期刊(英文)
• 学科: 医学
• 关键词: Alimentary TRACT DUPLICATION INFANTS Children
• 年，卷（期）: 2013,（4）
• 页码范围: 324-330
• 页数: 7页
• 分类号: R73

摘要

Background: Alimentary tract duplications (ATDs) are rare congenital anomalies of the gut tube, seen mainly in neonates and infants. Their presentations are often mimicking other conditions, thus posing a diagnostic challenge. Surgical treatment is required in all cases. Objective: The aim of this study is to present our experience in the diagnosis and management of this condition. Subjects and Method: We, retrospectively, reviewed 7 duplications in 7 patients and analyzed sex, age, clinical presentation, location, complications, diagnostic work-up, surgical methods and post-operative course. Encountered diagnostic and surgical difficulties were also reviewed in two extremely rare cases. Results: Patients’ age varied between 2 months and 10 years. All duplications were single. Six of them were intra-abdominal and one thoracoabdominal Three ADTs were asymptomatic and discovered during routine X-ray imaging. One ADT involving the cecum was mimicking appendicitis and complicated by recurrent intussusceptions. The thoracoabdominal one proved a surgical challenge as it was a completely isolated ATD. All patients underwent surgery without postoperative complications. We conclude that despite their rarity, ATDs require a high level of clinical suspicion, especially if they are presented as thoracic masses. Appropriate diagnostic investigation of the pediatric patients is always necessary to avoid delay in diagnosis.