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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 F.B., history of abdominal distension meteorism and problems with defecation. (A) Abdominal sonography: tubular cyst in the presacral space. (B) Contrast-enhanced CT: tubular rectal duplication cyst located between the rectum and sacrum. (C) MRI image of the duplication cyst.
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f7-poljradiol-79-243: Patient F.B., history of abdominal distension meteorism and problems with defecation. (A) Abdominal sonography: tubular cyst in the presacral space. (B) Contrast-enhanced CT: tubular rectal duplication cyst located between the rectum and sacrum. (C) MRI image of the duplication cyst.

Mentions: The diagnosis of rectum duplication was made based on ultrasound scan, which was later verified in computed tomography. Next, an MRI examination was performed, which aimed to verify an exact topography of the duplication, as well as to exclude any coexisting pathologies of the spine and spinal cord or a potential communication between the cyst and the spinal canal (Patient 14, Figure 7A–C).


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 F.B., history of abdominal distension meteorism and problems with defecation. (A) Abdominal sonography: tubular cyst in the presacral space. (B) Contrast-enhanced CT: tubular rectal duplication cyst located between the rectum and sacrum. (C) MRI image of the duplication cyst.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

f7-poljradiol-79-243: Patient F.B., history of abdominal distension meteorism and problems with defecation. (A) Abdominal sonography: tubular cyst in the presacral space. (B) Contrast-enhanced CT: tubular rectal duplication cyst located between the rectum and sacrum. (C) MRI image of the duplication cyst.
Mentions: The diagnosis of rectum duplication was made based on ultrasound scan, which was later verified in computed tomography. Next, an MRI examination was performed, which aimed to verify an exact topography of the duplication, as well as to exclude any coexisting pathologies of the spine and spinal cord or a potential communication between the cyst and the spinal canal (Patient 14, Figure 7A–C).

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