Abstract

We report a case of ileal duplication with intestinal obstruction in a nursling. A 5-month-old boy was admitted to the hospital because of vomiting. Intestinal obstruction at the end of the ileum was diagnosed based on abdominal ultrasonography and X-ray examination. Conservative treatments were not effective and an emergency laparotomy was performed. We detected duplication at end of the ileum and resected the ileocecal region and duplication. The duplication led to the normal intestine and resembled Meckel's diverticulum. We diagnosed it as ileal duplication since it was localized on the mesenteric side at the end of the ileum. Ileal duplication communicating with the normal intesine and of a cystic shape is rare. Our case exhibited a very strong resemblance to Meckel's diverticulum on microscopic and macroscopic examinations. Some bibliographical comments with reference to differentiation of the disease from Meckel's diverticulum are also presented here.

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