Ileocecal-Valve-Preserving Operation for the Cystic Intestinal Duplications of the Terminal Ileum: Report of Two Cases

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  • Konishi Kai
    Department of Pediatric Surgery, Kyoto Prefectural University of Medicine
  • Aoi Shigeyoshi
    Department of Pediatric Surgery, Kyoto Prefectural University of Medicine
  • Yamashi Kodai
    Department of Pediatric Surgery, Kyoto Prefectural University of Medicine
  • Nagano Shinta
    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
  • Furukawa Taizo
    Department of Pediatric Surgery, Kyoto Prefectural University of Medicine
  • Tajiri Tatsuro
    Department of Pediatric Surgery, Kyoto Prefectural University of Medicine

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Other Title
  • 回盲弁を温存しかつ完全に切除し得た回盲部腸管重複症の2例
  • カイ モウベン オ オンゾン シ カツ カンゼン ニ セツジョ シエタ カイ モウブ チョウカン チョウフクショウ ノ 2レイ

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Abstract

<p>We experienced treating two cases by ileocecal-valve-preserving operation for the intestinal duplications with cysts attached to the ileocecal valve. Case 1 was a four-month-old girl admitted to our hospital because of vomiting. She was diagnosed as having small bowel obstruction because of intestinal duplications of the terminal ileum. An emergency surgery was performed. Case 2 was a three-month old boy admitted to a local hospital because of vomiting and bloody stool. He was diagnosed as having intussusception for which reduction failed; therefore, he was transferred to our institute. On the basis of CT images, he was finally diagnosed as having intussusception due to intestinal duplications, and an emergency operation was performed. In both cases, the lesions were attached to the ileocecal valve, and the ileocecal-valve-preserving operation was selected. A small transverse ileotomy made it possible to resect the lesions completely and to preserve the ileocecal valve. There were no postoperative nutritional problems in our cases. As the intestinal duplications at the terminal ileum are usually located on the mesentery side of the valve, ileocecal resection or mucosectomy has been selected for many reported cases. However. our techniques seem to be better for avoiding incomplete resection and nutritional problems.</p>

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