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World J Gastroenterol. 2012 Nov 21;18(43):6338-40. doi: 10.3748/wjg.v18.i43.6338.

Total colorectal and terminal ileal duplication presenting as intussusception and intestinal obstruction.

Author information

  • 1Department of Radiology, Queen Mary Hospital, Hong Kong, China. hoyc1@ha.org.hk

Abstract

Colonic intussusception and gastrointestinal duplication are diseases that arise in young children. The clinical presentation of adult cases of intussusception and enteric duplication is non-specific and thus poses a diagnostic challenge. A computed tomography (CT) scan is recommended in adult cases as the most sensitive diagnostic tool and the pathognomonic finding of outer intussuscepiens and central intussusceptum is diagnostic. A septum of a duplicated colon in a non-intussuscepted segment has been rarely reported in the literature. With advancements in radiological imaging technology and the increased availability of CT scanners, the capacity for a correct pre-operative diagnosis has been significantly enhanced. Our current case report illustrates the importance of considering an uncommon etiology for enteric intussusception and duplication as a differential diagnosis of acute abdomen in an adult patient. Our analyses of this patient also highlight the successful use of CT scanning to make this diagnosis.

KEYWORDS:

Colonic duplication; Ileal duplication; Intestinal obstruction; Intussusception

PMID:
23180958
[PubMed - indexed for MEDLINE]
PMCID:
PMC3501786
Free PMC Article
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