Abstract
Gastrointestinal duplications are rare but interesting clinical entities. They have a varied presentation, with most of them showing up in paediatric population. Clinical features may vary from asymptomatic abdominal masses to bowel obstruction or perforation. This review traces the embryological origin and describes the anatomical types of duplications. An outline of the principles of management is described.
Keywords: Intestinal duplication, Duplication cyst, Enteric cysts
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References
- 1.Sarin Y.K., Manchanda V., Sharma A., Singhal A. Triplication of colon with diphallus and complete duplication of bladder and urethra. J Pediatr Surg. 2006;41:1924–1926. doi: 10.1016/j.jpedsurg.2006.06.002. [DOI] [PubMed] [Google Scholar]
- 2.Bremer J.L. Diverticula and duplications of the intestinal tract. Arch Pathol. 1944;38:132–140. [Google Scholar]
- 3.Long L., Zhang J.-Z., Wang Y. X. Vascular classification for small intestinal duplications. Experience with 80 cases. J Pediatr Surg. 1998;33:1243–1245. doi: 10.1016/S0022-3468(98)90159-2. [DOI] [PubMed] [Google Scholar]
- 4.Holcomb G.W., Gheissari A., O’Neill J.A., Jr, Shorter N.A., Bishop H.C. Surgical management of alimentary tract duplications. Ann Surg. 1989;209(2):167–174. doi: 10.1097/00000658-198902000-00006. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 5.Upadhyay N., Gomez D., Button M.F., et al. Retroperitoneal enteric duplication cyst presenting as a pancreatic cystic lesion. A case report. J Pancreas. 2006;7(5):492–495. [PubMed] [Google Scholar]
- 6.Kibayashi K., Sumida T., Shojo H., Tokunaga O. Unexpected death due to intestinal obstruction by a duplication cyst in an infant. Foresnic Science International. 2006;173:175–177. doi: 10.1016/j.forsciint.2006.12.010. [DOI] [PubMed] [Google Scholar]
- 7.Blickman J.G., Rieu P.H.M., Buonomo C., Hoogeveen Y.L., Boetes C. Colonic duplications: Clinical presentations and radiological features in five cases. Europian J Radiol. 2006;59:14–19. doi: 10.1016/j.ejrad.2006.03.012. [DOI] [PubMed] [Google Scholar]
- 8.Puligandla P.S., Nguyen L.T., St V., Flagoele, Bensoussan A.L., Nguyen G.H., et al. Gastrointestinal duplications. J Pediatr Surg. 2003;38:5. doi: 10.1016/jpsu.2003.50197. [DOI] [PubMed] [Google Scholar]
- 9.Rao K.L.N., Indira S., Ashwin P., Kim V., Sujith C. Intrapancreatic gastric duplication cyst presenting as lower gastrointestinal bleeding. J Pediatr Surg. 2003;382:243–244. doi: 10.1053/jpsu.2003.50053. [DOI] [PubMed] [Google Scholar]
- 10.Mahnovski V., Mahour G., Rowland J. Gastric duplication-Colonic fistula with colonic ulceration and bleeding. J Pediatr Surg. 1998;33:1815–1816. doi: 10.1016/S0022-3468(98)90293-7. [DOI] [PubMed] [Google Scholar]
- 11.Arbell D., Lebenthal A., Blashar A., et al. Duplication cyst of duodenum as unusual cause of massive gastrointestinal bleeding in an infant. J Peditr Surg. 2002;37:5. doi: 10.1053/jpsu.2002.31643. [DOI] [PubMed] [Google Scholar]
- 12.Martins J.L., Cury E.K., Petrilli A.S., et al. Cecal duplication causing a disappearing abdominal mass in an infant. J Pediatr Surg. 2001;36(10):1581–1583. doi: 10.1053/jpsu.2001.27057. [DOI] [PubMed] [Google Scholar]
- 13.Tullio D, Rinaldi R, Pellegrini D, et al (2008) Adenocarcinoma arising in an elderly patient’s large ileal duplication. Int J Surg Pathol doi: 10.1177/1066896908319443 [DOI] [PubMed]
- 14.Marcos P.A., Sanchis-Solera L., Perez C., Weihoff-Neuman A., Alonso-Jemenez L., Beltra-Pico R. Computer tomography diagnosis of right paraduodenal hernia associated with enteric duplication cyst. J Pediatr Surg. 2007;42:1938–1941. doi: 10.1016/j.jpedsurg.2007.08.004. [DOI] [PubMed] [Google Scholar]
- 15.Eman K.A., Mahmoud A.A. Intestinal duplication mimicking Meckel’s diverticulum. Clin Nucl Med. 2008;33:189–190. doi: 10.1097/RLU.0b013e318162dd9f. [DOI] [PubMed] [Google Scholar]
- 16.Toth E., Lillienau J., Ekelund J. Ulcerated small-intestine duplication cyst: an unusual source of GI bleeding revealed by wireless capsule endoscopy. Gastrointestinal Endoscopy. 2006;63:192–194. doi: 10.1016/j.gie.2005.07.012. [DOI] [PubMed] [Google Scholar]
- 17.Li L., Zhang J.-Z., Chen J.-J., Wang Y.X. Conservative approach to duplication of the small bowel. J Pediatr Surg. 1997;32:1679–1682. doi: 10.1016/S0022-3468(97)90505-4. [DOI] [PubMed] [Google Scholar]