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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 E.S., clinical signs of acute pancreatitis. (A) Sonographic image of thick-walled cyst in the prepyloric region of the stomach, lined with polypomatous hypertrophic mucosa. (B) Contrast-enhanced CT: thick-walled duplication cyst of the prepyloric region of the stomach with heterotopic foci of pancreatic tissue; accessory pancreas between the pancreas and stomach. (C) MRI image of the duplication cyst. (D) Intraoperative image.
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f5-poljradiol-79-243: Patient E.S., clinical signs of acute pancreatitis. (A) Sonographic image of thick-walled cyst in the prepyloric region of the stomach, lined with polypomatous hypertrophic mucosa. (B) Contrast-enhanced CT: thick-walled duplication cyst of the prepyloric region of the stomach with heterotopic foci of pancreatic tissue; accessory pancreas between the pancreas and stomach. (C) MRI image of the duplication cyst. (D) Intraoperative image.

Mentions: In Patient 6, a CT scan revealed some significant lesions, which were not previously observed in ultrasound examination: features of disseminated inflammatory process with some spleen infarctions and microabscesses present in both kidneys. In Patient 3, a small-bowel follow-through examination was performed, revealing a significant obstruction in contrast agent propagation at the level of the corpus of the stomach, poorly filled with contrast medium. Additionally, in Patient 5, MRI cholangiography was carried out in order to perform some more accurate assessment of the coexisting malformation of an accessory pancreas and an additional duct communicating with the pancreatic duct (Figure 5A–D). It is worth noticing that in Patient 4, neither ultrasound imaging, nor CT scan revealed the additional malformation – a small duplication cyst of the small intestine.


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 E.S., clinical signs of acute pancreatitis. (A) Sonographic image of thick-walled cyst in the prepyloric region of the stomach, lined with polypomatous hypertrophic mucosa. (B) Contrast-enhanced CT: thick-walled duplication cyst of the prepyloric region of the stomach with heterotopic foci of pancreatic tissue; accessory pancreas between the pancreas and stomach. (C) MRI image of the duplication cyst. (D) Intraoperative image.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

f5-poljradiol-79-243: Patient E.S., clinical signs of acute pancreatitis. (A) Sonographic image of thick-walled cyst in the prepyloric region of the stomach, lined with polypomatous hypertrophic mucosa. (B) Contrast-enhanced CT: thick-walled duplication cyst of the prepyloric region of the stomach with heterotopic foci of pancreatic tissue; accessory pancreas between the pancreas and stomach. (C) MRI image of the duplication cyst. (D) Intraoperative image.
Mentions: In Patient 6, a CT scan revealed some significant lesions, which were not previously observed in ultrasound examination: features of disseminated inflammatory process with some spleen infarctions and microabscesses present in both kidneys. In Patient 3, a small-bowel follow-through examination was performed, revealing a significant obstruction in contrast agent propagation at the level of the corpus of the stomach, poorly filled with contrast medium. Additionally, in Patient 5, MRI cholangiography was carried out in order to perform some more accurate assessment of the coexisting malformation of an accessory pancreas and an additional duct communicating with the pancreatic duct (Figure 5A–D). It is worth noticing that in Patient 4, neither ultrasound imaging, nor CT scan revealed the additional malformation – a small duplication cyst of the small intestine.

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