CASE REPORTS   

Chirurgia 2008 June;21(3):163-4

Copyright © 2008 EDIZIONI MINERVA MEDICA

language: English

Tubular duplication of the ileus and isolated longitudinal duplication cyst of the jejunum: a rare combination

Mavridis G., Livaditi E., Baltogiannis N., Christopoulos-Geroulanos G.

Second Surgical Department of “Aghia Sophia” Children’s Hospital of Athens, Greece

Duplications of the alimentary tract are rare congenital anomalies. They are most frequently single, may be located anywhere at the alimentary tract and they can cause diagnostic as well as therapeutic problems. We report a case of an isolated longitudinal duplication cyst of the jejunum in an 11year old boy. He had a history of laparotomy at the age of 5 years for the excision of a typical tubular duplication of the ileum causing bleeding. The cyst had been overlooked during the primary operation and was found incidentally at a second laparotomy, 6 years later, for the treatment of an obstructive ileus. The cyst was completely separate from the native intestine, its wall consisted of all intestinal layers, had autonomous blood supply and was embedded in the root of the mesentery. It was resected completely and the postoperative course was uneventful. The coexistence of an isolated longitudinal duplication cyst with a typical tubular duplication of the midgut is an extremely rare finding and to the authors’ knowledge this is the first reported case in the literature.