Adult Intestinal Duplication Managed by Laparoscopic-assisted Surgery：A Case Report

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  • 腹腔鏡補助下に治療し得た成人回腸重複腸管の1例
  • フククウキョウ ホジョ カ ニ チリョウ シエタ セイジン カイチョウ チョウフク チョウカン ノ 1レイ

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Abstract

<p>We report a case of small-intestinal duplication with primary bowel obstruction. A 27-year-old man presented to our hospital with a history of abdominal pain and vomiting. Abdominal computed tomography revealed dilatation of the small intestine with pronounced caliber change in the ileum. We initially made the diagnosis of intestinal obstruction secondary to Meckel’s diverticulum. The patient’s symptoms improved with insertion of a long tube into the intestine; however, the symptoms recurred after the patient took some food, and we performed laparoscopic-assisted surgery. A T-shaped segment of the small intestine measuring 60 cm from the terminal ileum was successfully resected with the mesentery. Histopathological examination showed a muscular layer in the resected ileum, which led us to make the diagnosis of ileus duplication. Although intestinal duplications are rare, they should be considered in patients presenting with acute abdominal pain. Partial bowel resection is often the treatment of choice for intestinal duplications. However, laparoscopic-assisted surgery, with wedge resection, may also be a useful option.</p>

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