A Pediatric Case of Intestinal Obstruction Due to Stent–Stone Complex After Undergoing Cyst Incision to Treat Duodenal Duplication

DOI Web Site Open Access
  • Nagano Shinta
    Department of Pediatric Surgery, Kyoto Prefectural University of Medicine
  • Furukawa Taizo
    Department of Pediatric Surgery, Kyoto Prefectural University of Medicine
  • Takemoto Masakazu
    Department of Pediatric Surgery, Kyoto Prefectural University of Medicine
  • Takeuchi Yuuki
    Department of Pediatric Surgery, Kyoto Prefectural University of Medicine
  • Sakai Kohei
    Department of Pediatric Surgery, Kyoto Prefectural University of Medicine
  • Higashi Mayumi
    Department of Pediatric Surgery, Kyoto Prefectural University of Medicine
  • Fumino Shigehisa
    Department of Pediatric Surgery, Kyoto Prefectural University of Medicine
  • Aoi Shigeyoshi
    Department of Pediatric Surgery, Kyoto Prefectural University of Medicine
  • Konishi Hideyuki
    Department of Gastroenterology, Kyoto Prefectural University of Medicine
  • Tajiri Tatsuro
    Department of Pediatric Surgery, Kyoto Prefectural University of Medicine

Bibliographic Information

Other Title
  • 十二指腸重複症に対する囊胞切開術後にStent-Stone Complexによる腸閉塞を発症した1例
  • ジュウニシチョウ チョウフクショウ ニ タイスル ノウホウセッカイ ジュツゴ ニ Stent-Stone Complex ニ ヨル チョウ ヘイソク オ ハッショウ シタ 1レイ

Search this article

Abstract

<p>The patient was a 7-year-old boy. After being diagnosed as having acute pancreatitis, he was referred to our hospital after developing acute pancreatitis at 7 years of age and, at that time, was diagnosed as having duodenal duplication. The attending physician planned to perform endoscopic treatment, which is less invasive than surgical resection because he was a child. The cyst was incised and an ERBD tube was put in place to drain it. He thereafter regularly visited the outpatient clinic. However, three years later, he was again referred to our department after being diagnosed as having bowel obstruction. Abdominal CT revealed a drainage tube in the intestinal tract at the terminal ileum, which was the origin of the obstruction, and emergency laparotomy was thus performed. The surgical findings revealed an enterolith and a piece of a drainage tube in the intestine at the origin of the obstruction, and a diagnosis of intestinal obstruction due to a stent–stone complex was thus made. The intestine was incised and the drainage tube and enteric stone were both successfully removed to release the obstruction. Duodenal duplication is extremely rare, and there are few reports of endoscopic treatment for pediatric cases, and reports of pediatric cases of SSC are also extremely rare. Also, there are few reports of adult cases of SSC, and this is the first report of a pediatric case in Japan. In this case, we describe our findings and also discuss the course of the diagnosis and treatment, as well as report on the clinical course of bowel obstruction as a complication.</p>

Journal

Related Projects

See more

Keywords

Details 詳細情報について

Report a problem

Back to top