Imaging features of intestinal tract duplications in young children – clues for the differential diagnosis
- Brankov, G. Kirova, V. Marinov, K. Draganov, G. Simeonov, M. Stoeva
The duplications of the intestinal tract are rare malformations and can be found in all of the segments of the digestive tract. They are localized mostly in the jejunum, followed by the colon. Their diagnosis is difficult in regard to the clinical symptoms that is often non-specific and can resemble another abdominal pathology. This is associated with a variety of pathological processes and a wide range of symptoms, depending on the type, form and location of the duplication. They present often an incidental finding by the surgical exploration for acute abdomen. The diagnostic algorithm includes many imaging methods. Of these the abdominal ultrasound, CT or MRI possess the highest diagnostic value. Conventional X-ray contrast studies could be applied when communicating colon duplication is presumed. In case of gastrointestinal bleeding it is appropriate to provide a radioisotope study, although data for ectopic mucosa may be interpreted as a manifestation of Meckel’s diverticulum. Important role in the differential diagnosis of different types colon duplications has the colonoscopy. The radical treatment consists of excision of the cystic formation or partial resection of the intestine, depending on the type and extends of the pathology We present our clinical experience with three children operated on for the period 2014 – 2015 in the Department of Surgery at “Hospital Tokuda” emphasizing the possibilities of the imaging diagnosis with a brief review of the literature.
Key words: ALIMENTARY TRACT DUPLICATIONS. MECKEL’S
DIVERTICULUM. IMAGING DIAGNOSIS. ABDOMINAL