Abstract
Alimentary tract duplication is a rare congenital malformation but can occur anywhere along the digestive tract. Most patients become symptomatic in early childhood, and only a few cases of adult patients have been reported in the literature. We herein report a unique case of a giant ileal duplication in an adult, which was successfully treated with laparoscope-assisted surgery. A 60-year-old male was admitted because of abdominal pain. Imaging studies revealed a well-defined cystic mass, measuring 15 cm, in the ileocecal region. We diagnosed it as a duplicated ileum and performed laparoscope-assisted surgery. The duplication was successfully resected with attached normal ileum, and there were no major complications in the postoperative course.
Highlights
Duplication of the alimentary tract is a rare congenital malformation that can arise throughout the alimentary tract from the oral cavity to the anus [1]
We report a rare case of a giant ileal duplication in an adult, which was successfully treated with laparoscope-assisted surgery
We diagnosed the cyst as an ileal duplication and decided to perform surgery in order to prevent a recurrence of abdominal pain and lethal complications, such as bleeding or perforation
Summary
Duplication of the alimentary tract is a rare congenital malformation that can arise throughout the alimentary tract from the oral cavity to the anus [1]. We report a rare case of a giant ileal duplication in an adult, which was successfully treated with laparoscope-assisted surgery. There were not significant findings during a colonoscopic examination Based on these findings, we diagnosed the cyst as an ileal duplication and decided to perform surgery in order to prevent a recurrence of abdominal pain and lethal complications, such as bleeding or perforation. We employed a four-port laparoscope-assisted resection of the duplicated ileum and segmental resection of the normal ileum. The resected specimen showed an ileal duplication of 18 × 7 cm in diameter, filled with purulent matter with some ulcers inside (Figure 3a). There was no communication between the duplication and normal ileum, but they had a common muscle layer (Figure 3b,c). The postoperative period was uneventful without any asthma attack, and the patient was discharged on the 13th postoperative day
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