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| Noncommunicating small bowel duplication Martin Stenzel. Noncommunicating small bowel duplication. PedRad [serial online] vol 7, no. 1. URL: www.PedRad.info/?search=20070112213053
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 | Images to this case: | [ Ultrasound ] [ Pathology ] [ All ] | |
 | Author/s: | Martin Stenzel (Institut für Radiologie/Unfallkrankenhaus Berlin-Marzahn/Deutschland) | |
 | Email Address: | Viewable for logged on visitors (Log on) | |
 | Age: | 5 Months | |
 | Gender: | Male | |
 | Region-Organ: | GI-Small intestine | |
 | Most likely etiology: | congenital | |
 | History: | 5 month old male infant. Acute vomiting several times a day since the second month of life. Physical examination is unremarkable. | |
 | Pathomorphology or Pathophysiology of this disease : | A duplication can occur from the mouth to the anal canal, always in relation to the gastrointestinal tract. Mucosa with secretory glands lead to cystic and tubular appearance. | |
 | Radiological findings: |
<- view Ultrasound 1
Ultrasound 1: B mode [Toshiba Aplio 50]: 5 layered, 35 x 12 mm bowel like structure in the right mid abdomen without evidence of a communication with the small bowel (whole arrows) . There is a small amount of fluid within the lumen. In addition, a 5 mm hypoechoic structure is noted at the outer border of this structure with a thin wall (arrow with interrupted lines).
<- view Ultrasound 2
Ultrasound 2: Color coded ultrasound: In the color coded US there is evidence of vessels.
<- view Ultrasound 3
Ultrasound 3: B mode: 5 layered, 35 x 12 mm bowel like structure in the right mid abdomen without evidence of a communication with the small bowel (whole arrows) . There is a small amount of fluid within the lumen. Mesenteric lymph nodes (arrow with interrupted lines). Peristalsis could not be observed.
<- view Pathology 1
Pathology 1: Intraoperative/macro-/microscopic findings: Structure with vessel stalk, evidence of several mucoceles - consistent with the smaller round structure in the picture - adjacent to the wall. The structure is completely covered with serosa, consistent with a noncommunicating form. Macroscopic sample: the arrow shows the vessel stalk with ligation suture. [With permission of the Institute of Pathology, Sana Hospitals Lichtenberg]
<- view Pathology 2
Pathology 2: Intraoperative/macro-/microscopic findings: Structure with vessel stalk, evidence of several mucoceles - consistent with the smaller round structure in the picture - adjacent to the wall. The structure is completely covered with serosa, consistent with a noncommunicating form. Macroscopic sample, opened: a mucocele is marked with an arrow. [With permission of the Institute of Pathology, Sana Hospitals Lichtenberg]
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 | Diagnosis confirmation: | Surgery / Histo | |
 | Which DD would be also possible with the radiological findings: | Mesenterial cyst, Omental cyst, Meckel's diverticulum | |
 | Course / Prognosis / Frequency / Other : | According to IYER 2/3 of the cases become clinical within the first year of life. The symptoms are dependent on the location of the duplication. Duplications may represent origins for intussusceptions. Further complications: hemorrhage, perforation, ileus. Multiple isolated duplications have been also described in one child (MENON). According to IYER duplications are associated with cardiac anomalie, myelomeningoceles and microcephalus. Etiology: vascular insufficiency which leads to separation of small bowel segments in the fetal period? Noncommunicating duplications are extremely rare (so far only 4 case reports). As in the case of STEINER there seems to be a resorption of the secreted fluids in the noncommunicating variant. | |
 | Comments of the author about the case: | The duplication was shown on a prior study (not shown) as a cystic structure with a luminal width of 30 mm. | |
 | First description / History: | N/A | |
 | Literature: | 1. Medline:  Iyer CP, Mahour GH. Duplications of the Alimentary Tract in Infants and Children. J Pediatr Surg 1995; 30:1267-70.
2. Medline:  Steiner Z, Mogilner J. A Rare Case of Completely Isolated Duplication Cyst of the Alimentary Tract. J Pediatr Surg 1999; 34:1284-6.
3. Medline:  Menon P, Rao KLN, Vaiphei K. Isolated Enteric Duplication Cysts. J Pediatr Surg 2004;39:E27. | |
 | Keywords: | infant, acute vomiting, acute emesis, intestinal duplication, cyst, surgery, noncommunicating duplication, small bowel duplication, duplication, noncommunicating, child, childhood, pediatric radiology | |
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Cite this article: |
Martin Stenzel. Noncommunicating small bowel duplication. PedRad [serial online] vol 7, no. 1. URL: www.PedRad.info/?search=20070112213053 |
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Read similar articles: |
with corresponding keywords
in the same field: GI-Small intestine
or in the region: GI
or in the tissue/organ: Small intestine
or with the etiology: congenital
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 | Images to this case: | [ Ultrasound ] [ Pathology ] [ All ] | |
| Noncommunicating small bowel duplication Martin Stenzel. Noncommunicating small bowel duplication. PedRad [serial online] vol 7, no. 1. URL: www.PedRad.info/?search=20070112213053
| |
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Noncommunicating small bowel duplication Other cases by these authors:
Martin Stenzel (1) Noncommunicating small bowel duplication |
| Noncommunicating small bowel duplication Martin Stenzel. Noncommunicating small bowel duplication. PedRad [serial online] vol 7, no. 1. URL: www.PedRad.info/?search=20070112213053
| |
Which diagnosis have other collegues guessed?
- Mesenterial cyst
Votes: 2 (16 %)

- Omental cyst
Votes: 0 (0 %)

- Meckel's diverticulum
Votes: 1 (8 %)

- Small bowel duplication
Votes: 8 (66 %)

- GIST tumor
Votes: 1 (8 %)

Total answers: 12
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| Noncommunicating small bowel duplication Martin Stenzel. Noncommunicating small bowel duplication. PedRad [serial online] vol 7, no. 1. URL: www.PedRad.info/?search=20070112213053
| |
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| Noncommunicating small bowel duplication Martin Stenzel. Noncommunicating small bowel duplication. PedRad [serial online] vol 7, no. 1. URL: www.PedRad.info/?search=20070112213053
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