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World J Gastrointest Surg. Aug 27, 2011; 3(8): 128-130
Published online Aug 27, 2011. doi: 10.4240/wjgs.v3.i8.128
Published online Aug 27, 2011. doi: 10.4240/wjgs.v3.i8.128
Intestinal duplication in adulthood: A rare entity, difficult to diagnose
Cristina Fiorani, Rosa Scaramuzzo, Alessandra Lazzaro, Achille L Gaspari, Giuseppe Sica, Department of Surgical Science, Tor Vergata University Hospital, 00133 Rome, Italy
Livia Biancone, Department of Medicine, Gastroenterology Unit, Tor Vergata University Hospital, 00133 Rome, Italy
Giampiero Palmieri, Department of Pathology, Tor Vergata University Hospital, 00133 Rome, Italy
Author contributions: Fiorani C and Sica G wrote the paper; Scaramuzzo R and Lazzaro A performed the literature review and designed the research; Palmieri G contributed as a pathologist and explained the macroscopic and microscopic finding; Biancone L and Gaspari AL critically reviewed the paper.
Correspondence to: Giuseppe Sica, MD, PhD, Professor, Head, GastroIntestinal Surgical Unit, Department of Surgical Science, Tor Vergata University Hospital, Viale Oxford 81, 00133 Rome, Italy. sica.giuseppe@fastwebnet.it
Telephone: +39-6-20902928 Fax: +39-6-20902926
Received: October 7, 2010
Revised: June 6, 2011
Accepted: June 15, 2011
Published online: August 27, 2011
Revised: June 6, 2011
Accepted: June 15, 2011
Published online: August 27, 2011
Abstract
Duplications of the alimentary tract (ATD) are rare congenital anomalies often found early in life. They may occur anywhere in the intestinal tract but the ileum is the most frequently affected site. Clinical presentation of ATD in adults is variable and because these lesions occur so infrequently they are rarely suspected. In the present report we describe a case of ileal duplication in a 61-year-old patient with Crohn’s disease. Despite various radiological investigations and medical consultations, the diagnosis was only made on the surgical specimen.
Keywords: Intestinal duplication, Adulthood, Intestinal obstruction, Surgical resection, Abdominal pain