J Korean Surg Soc.  2009 Jul;77(1):69-71. 10.4174/jkss.2009.77.1.69.

Coincident Occurrence of Intestinal Duplication Cyst and Type I and Type II Intestinal Atresias

Affiliations
  • 1Department of Surgery, Dongsan Medical Center, School of Medicine, Keimyung University, Daegu, Korea. whp0903@dsmc.or.kr

Abstract

The association of intestinal duplication and intestinal atresia is very rare. A case of intestinal duplication associated with Type I and Type II intestinal atresias is reported, and the relevant literature pertaining to the causation of these lesions is discussed. To the best of our knowledge, this case seems to be the first report in Korean literatures.

Keyword

Intestinal duplication; Intestinal atresia

MeSH Terms

Intestinal Atresia

Figure

  • Fig. 1 The resected specimen shows a cystic duplication (thickest arrow) at the antimesenteric border of the jejunum, type II ileal atresia (thick arrow), and type 1 ileal atresia (thin arrow).

  • Fig. 2 (A) The muscle proper of the cystic duplication is partly shared with the subjacent small intestine (arrows). (B) The epithelium of the cystic duplication is lined by pyloric-type gastric mucosa with underlying muscle proper (H&E, ×50).


Reference

1. Favara BE, Franciosi RA, Akers DR. Enteric duplications. Thirty-seven cases: a vascular theory of pathogenesis. Am J Dis Child. 1971. 122:501–506.
2. Moore SW, Rode H, Millar AJW, Cywes S. Intestinal atresia and Hirschsprung's disease. Pediatr Surg Int. 1990. 5:182–184.
3. Gluck M, Tekin R, Heiming E. Coincident occurrence of small-bowel atresia and duplication. Pediatr Surg Int. 1992. 7:298–299.
4. Al-Salem AH. Pyloric atresia associated with duodenal and jejunal atresia and duplication. Pediatr Surg Int. 1999. 15:512–514.
5. Ratan SK, Rattan KN, Singh S, Marwah N. Ileal duplication cyst associated with type-3 ileal atresia: report of a case. Surg Today. 2004. 34:363–365.
6. Gross RE, Holcomb GW Jr, Farber S. Duplications of the alimentary tract. Pediatrics. 1952. 9:448–468.
7. DeLorimier AA, Fonkalsrud EW, Hays DM. Congenital atresia and stenosis of the jejunum and ileum. Surgery. 1969. 65:819–827.
8. Grosfeld JL, O'Neill JA Jr, Clatworthy HW Jr. Enteric duplications in infancy and childhood: an 18-year review. Ann Surg. 1970. 172:83–90.
9. Holcomb GW 3rd, Gheissari A, O'Neill JA Jr, Shorter NA, Bishop HC. Surgical management of alimentary tract duplications. Ann Surg. 1989. 209:167–174.
10. Stauffer UG, Schwoebel M. O'Neill JA, Rowe MI, Grosfeld JL, Fonkalsrud EW, Coran AG, editors. Duodenal atresia and stenosis: annular pancreas. Pediatric Surgery. 1988. 5th ed. New York: Mosby;1133–1143.
11. Choi SO, Park WH. Duodenal duplication cyst associated with duodenal atresia. Pediatr Surg Int. 1995. 10:167–168.
12. Louw JH, Barnard CN. Congenital intestinal atresia; observations on its origin. Lancet. 1955. 269:1065–1067.
13. Lewis FT, Thyng FW. The regular occurrence of intestinal diverticula in embryos of the pig, rabbit, and man. Am J Anat. 1908. 7:505–519.
14. Bremer JL. Diverticula and duplications of the intestinal tract. Arch Pathol. 1944. 38:132–140.
15. Bentley JF, Smith JR. Developmental posterior enteric remnants and spinal malformations: the split notochord syndrome. Arch Dis Child. 1960. 35:76–86.
16. Skandalakis JE, Gray SW, Ricketts R, Richardson DD. Skandalakis JE, Gray SW, editors. The small intestine. Embryology for Surgeons. 1994. 2nd ed. Baltimore: Williams & Wilkins;227.
Full Text Links
  • JKSS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr