Case Report
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Aug 26, 2021; 9(24): 7261-7268
Published online Aug 26, 2021. doi: 10.12998/wjcc.v9.i24.7261
Thoracoabdominal duplication with hematochezia as an onset symptom in a baby: A case report
Shao-Bo Yang, Hong Yang, Shan Zheng, Gong Chen
Shao-Bo Yang, Hong Yang, Shan Zheng, Gong Chen, Department of Surgery, Children’s Hospital of Fudan University, National Children’s Medical Center, Shanghai 201102, China
Author contributions: Yang SB was responsible for data curation, investigation, original manuscript drafting, and funding acquisition; Yang H was responsible for data curation and original manuscript drafting; Zheng S was responsible for the revision of the manuscript for important intellectual content; Chen G was responsible for the conceptualization, supervision, and manuscript review; all authors issued final approval for the version to be submitted.
Supported by National Natural Science Foundation of China, No. 81801498; Shanghai Municipal Health Commission Foundation, No. 20174Y0018; and Shanghai “Rising Stars of Medical Talent” Youth Development Program, No. 2019-72.
Informed consent statement: Informed written consent was obtained from the guardian of the patient for the publication of the relevant information.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to report.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Gong Chen, MD, PhD, Professor, Department of Surgery, Children’s Hospital of Fudan University, National Children's Medical Center, No. 399 Wanyuan Road, Minhang District, Shanghai 201102, China. chengongzlp@hotmail.com
Received: April 29, 2021
Peer-review started: April 29, 2021
First decision: June 3, 2021
Accepted: July 2, 2021
Article in press: July 2, 2021
Published online: August 26, 2021
Processing time: 117 Days and 0.2 Hours
Core Tip

Core Tip: Small intestine duplication is the most common type of alimentary tract duplication, whereas thoracoabdominal duplications only account for approximately 2% of all alimentary tract duplication cases. Many symptoms, including abdominal pain, abdominal distension, vomiting, gastrointestinal bleeding, chest discomfort, chest pain, and shortness of breath, may be present in patients with abdominal or thoracic duplication. If a child has suspected abdominal intestinal duplication with hematochezia as an onset symptom and concurrent respiratory symptoms, the possibility of thoracoabdominal duplication should be considered, and enhanced chest-related examinations should be performed. Resection of the thoracoabdominal duplications in one-stage surgery appears to be an appropriate and safe treatment option.