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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 M.G., history of constipation. (A) Contrast-enhanced CT: tubular ileal duplication cyst located close to the ileocaecal valve. (B) Intraoperative image.
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f6-poljradiol-79-243: Patient M.G., history of constipation. (A) Contrast-enhanced CT: tubular ileal duplication cyst located close to the ileocaecal valve. (B) Intraoperative image.

Mentions: In every child with ileal duplication the malformations were detected in ultrasound examination, which – in two cases – were later confirmed in CT scan (Patient 12, Figure 6A, 6B). In one patient, the duplication cyst detected previously in ultrasonography, was not observed in computed tomography.


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 M.G., history of constipation. (A) Contrast-enhanced CT: tubular ileal duplication cyst located close to the ileocaecal valve. (B) Intraoperative image.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

f6-poljradiol-79-243: Patient M.G., history of constipation. (A) Contrast-enhanced CT: tubular ileal duplication cyst located close to the ileocaecal valve. (B) Intraoperative image.
Mentions: In every child with ileal duplication the malformations were detected in ultrasound examination, which – in two cases – were later confirmed in CT scan (Patient 12, Figure 6A, 6B). In one patient, the duplication cyst detected previously in ultrasonography, was not observed in computed tomography.

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