Salinas SVA, Fajardo PGY, Moreno EAM, Mendoza SLG, Gía CCG

Language: Spanish
References: 17
Page: 1-9
PDF size: 353.72 Kb.

ABSTRACT

Intestinal duplication defines a group of congenital malformations of the digestive tract, of diverticular, cystic or tubular structures, which have smooth muscle walls such as those of the intestine and a gastrointestinal-type mucous lining. It is located in any segment of the digestive tract, from the mouth to the anus. The most affected area is the ileum, while the condition constitutes the most frequent cause of abdominal mass in the neonatal period. The diagnosis can be prenatal through either ultrasound or resonance. In the postnatal period, the clinical indications establish, based on the signs, whether complementary tests are required, which can range from ultrasound to studies with technetium-99. In the duodenal portion, this disease represents 5% of all intestinal duplications. The description of cases in the first portion is exceptional, which is the reason why we consider it as a differential diagnosis in neonatal tumor diseases of abdominal origin.

REFERENCES

1. Fitz RH. Persistent omphalo-mesenteric remains: Their importance in the causation of intestinal duplication, cyst formation, and obstruction. Am J Med Sci. 1884;88:30-57.

2. Ashcraff KW, Holder TM, Wrenn E. Duplicaciones del tubo digestivo. Cirugía Pediátrica. 2.ª ed. México: Interamericana; 1995. p. 215-22.

3. Merrot T, Anastasescu R, Pankevych T, Tercier S, Garcia S, Alessandrini P, et al. Duodenal duplications. Clinical characteristics, embryological hypotheses, histological findings, treatment. Eur J Pediatr Surg. 2006;16:18-23.

4. Borgnon J, Durand C, Gourlaouen D, Sagot P, Sapin E. Antenatal detection of a communicating duodenal duplication. Eur J Pediatr Surg. 2003;13:130-3.

5. Favara BE, Franciosi RA, Akers DR. Enteric duplications: Thirty-seven cases: A vascular theory of pathogenesis. Am J Dis Child. 1971;122:501-6.

6. Long L, Zhang JZ, Wang YX. Vascular classification for small intestinal duplications: Experience with 80 cases. J Pediatr Surg. 1998;33:1243-45.

7. Koumaindou C. Perforation of multiple gastric duplication cysts diagnosis by sonography. Eur Radiol 1999; 9:1675-7.

8. Gemini S, Ottonello R, Cogoni G, Cocco P, Cadoni S, Palmas C, et al. Congenital diverticulum of small intestine: Meckel´s diverticulum or intestinal duplication?. Minerva Chir. 1994;49(1-2):99-102

9. Keckler SJ, Holcomb GW. Alimentary tract duplications. Ashcraft’s Pediatric Surgery. Saunders Ed., an imprint of Elsevier Inc. 2010. ISBN:978-1- 4160-6127-4.

10. Kaabar N, Bouthour H, Ben Abdallah R. Duodenal duplication revealed by acute pancreatitis. A case report. Tunis Med. 2011;89(2):195-7.

11. Makin E, Davenport M. Fetal and neonatal liver tumours. Early Hum Dev. 2010;86:63742.

12. Isaacs H Jr. Fetal and neonatal hepatic tumors. J Pediatr Surg. 2007;42:1797-803.

13. Bader D, Riskin A, Vafsi O, Tamir A, Peskin B, Israel N, et al. Alpha-fetoprotein in the early neonatal period a large study and review of the literature. Clin Chim Acta. 2004;349:15-23.

14. Merrot T, Anastasescu R, Pankevych T, Tercier S, Garcia S, Alessandrini P, et al. Duodenal duplications. Clinical characteristics, embryological hypotheses, histological findings, treatment. Eur J Pediatr Surg. 2006;16:18-23.

15. Blais C, Masse S. Preoperative ultrasound diagnosis of a gastric duplication cyst with ectopic pancreas in a child. J Pediatr Surg. 1995;30:1384-6. 16. Macpherson RI. Gastrointestinal tract duplications: Clinical, pathologic, etiologic, and radiologic considerations. RadioGraphics. 1993;13:1063-80. 17. Holcomb GW, Gheissari A, O'Neill JA, Shorter NA, Bishop HC. Surgical management of alimentary tract duplications. Ann Surg. 1989;209:167-74.

16. Kim JK, Jang EH, Lee JH, Kim YB. Papillary adenocarcinoma arising in a tubular duplication of the jejunum. Br J Radiol. 2010;83(987):61-4.

17. Soares-Oliveira M. Duplicaciones intestinales. Análisis de 18 casos. Anales de Pediatría. 2002;56(5):430-3.