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Use of diagnostic imaging in the evaluation of gastrointestinal tract duplications.

Laskowska K, Gałązka P, Daniluk-Matraś I, Leszczyński W, Serafin Z - Pol J Radiol (2014)

Bottom Line: Gastrointestinal tract duplication is a rare malformation associated with the presence of additional segment of the fetal gut.Ultrasound and computed tomography are the methods of choice in the evaluation of gastrointestinal duplication cysts.Apart from the diagnosis of the duplication cyst, an important issue is the detection of concomitant developmental pathologies, including pancreatic heterotopy.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology and Diagnostic Imaging, Nicolaus Copernicus University, Collegium Medicum, Bydgoszcz, Poland.

ABSTRACT

Background: Gastrointestinal tract duplication is a rare malformation associated with the presence of additional segment of the fetal gut. The aim of this study was to retrospectively review clinical features and imaging findings in intraoperatively confirmed cases of gastrointestinal tract duplication in children.

Material/methods: The analysis included own material from the years 2002-2012. The analyzed group included 14 children, among them 8 boys and 6 girls. The youngest patient was diagnosed at the age of three weeks, and the oldest at 12 years of age.

Results: The duplication cysts were identified in the esophagus (n=2), stomach (n=5), duodenum (n=1), terminal ileum (n=5), and rectum (n=1). In four cases, the duplication coexisted with other anomalies, such as patent urachus, Meckel's diverticulum, mesenteric cyst, and accessory pancreas. Clinical manifestation of gastrointestinal duplication cysts was variable, and some of them were detected accidently. Thin- or thick-walled cystic structures adjacent to the wall of neighboring gastrointestinal segment were documented on diagnostic imaging.

Conclusions: Ultrasound and computed tomography are the methods of choice in the evaluation of gastrointestinal duplication cysts. Apart from the diagnosis of the duplication cyst, an important issue is the detection of concomitant developmental pathologies, including pancreatic heterotopy.

No MeSH data available.


Related in: MedlinePlus

Patient K.P., diagnosed due to ASOII congenital heart defect. (A) Chest radiogram: a widened upper mediastinum on the right side. (B) Contrast-enhanced CT: an esophageal duplication cyst in the upper mediastinum on the right side, adjacent to the esophagus, trachea, large vessels, and thymus.
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f1-poljradiol-79-243: Patient K.P., diagnosed due to ASOII congenital heart defect. (A) Chest radiogram: a widened upper mediastinum on the right side. (B) Contrast-enhanced CT: an esophageal duplication cyst in the upper mediastinum on the right side, adjacent to the esophagus, trachea, large vessels, and thymus.

Mentions: The duplication cysts located in the chest (n=2) were revealed incidentally. In the first case, the cyst was detected while performing diagnostic examinations of a cyst located in the neck (Figure 1A, 1B). In the second patient the diagnosis was made during assessment of ASO II heart defect, where after detection of widened mediastinum in chest X-ray, a computed tomography examination was performed (Figure 2).


Use of diagnostic imaging in the evaluation of gastrointestinal tract duplications.

Laskowska K, Gałązka P, Daniluk-Matraś I, Leszczyński W, Serafin Z - Pol J Radiol (2014)

Patient K.P., diagnosed due to ASOII congenital heart defect. (A) Chest radiogram: a widened upper mediastinum on the right side. (B) Contrast-enhanced CT: an esophageal duplication cyst in the upper mediastinum on the right side, adjacent to the esophagus, trachea, large vessels, and thymus.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4128324&req=5

f1-poljradiol-79-243: Patient K.P., diagnosed due to ASOII congenital heart defect. (A) Chest radiogram: a widened upper mediastinum on the right side. (B) Contrast-enhanced CT: an esophageal duplication cyst in the upper mediastinum on the right side, adjacent to the esophagus, trachea, large vessels, and thymus.
Mentions: The duplication cysts located in the chest (n=2) were revealed incidentally. In the first case, the cyst was detected while performing diagnostic examinations of a cyst located in the neck (Figure 1A, 1B). In the second patient the diagnosis was made during assessment of ASO II heart defect, where after detection of widened mediastinum in chest X-ray, a computed tomography examination was performed (Figure 2).

Bottom Line: Gastrointestinal tract duplication is a rare malformation associated with the presence of additional segment of the fetal gut.Ultrasound and computed tomography are the methods of choice in the evaluation of gastrointestinal duplication cysts.Apart from the diagnosis of the duplication cyst, an important issue is the detection of concomitant developmental pathologies, including pancreatic heterotopy.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology and Diagnostic Imaging, Nicolaus Copernicus University, Collegium Medicum, Bydgoszcz, Poland.

ABSTRACT

Background: Gastrointestinal tract duplication is a rare malformation associated with the presence of additional segment of the fetal gut. The aim of this study was to retrospectively review clinical features and imaging findings in intraoperatively confirmed cases of gastrointestinal tract duplication in children.

Material/methods: The analysis included own material from the years 2002-2012. The analyzed group included 14 children, among them 8 boys and 6 girls. The youngest patient was diagnosed at the age of three weeks, and the oldest at 12 years of age.

Results: The duplication cysts were identified in the esophagus (n=2), stomach (n=5), duodenum (n=1), terminal ileum (n=5), and rectum (n=1). In four cases, the duplication coexisted with other anomalies, such as patent urachus, Meckel's diverticulum, mesenteric cyst, and accessory pancreas. Clinical manifestation of gastrointestinal duplication cysts was variable, and some of them were detected accidently. Thin- or thick-walled cystic structures adjacent to the wall of neighboring gastrointestinal segment were documented on diagnostic imaging.

Conclusions: Ultrasound and computed tomography are the methods of choice in the evaluation of gastrointestinal duplication cysts. Apart from the diagnosis of the duplication cyst, an important issue is the detection of concomitant developmental pathologies, including pancreatic heterotopy.

No MeSH data available.


Related in: MedlinePlus