DUPLICATIONS GASTRIQUES AVEC FOYERS D’HYTÉROTOPIES PANCRÉATIQUES CHEZ L’ENFANT

Abstract

Introduction: The digestive duplications are defined as tubular or cystic-like malformations, sitting on a segment of the gastro-intestinal tract from the oral cavity to the anus. The wall of the duplication is formed by a double muscular tunic lined interiorly by a digestive-type mucous membrane. These malformations are characterized by a very large pathogenic, clinic and path anatomic polymorphism. It can be revealed by benign signs or sometimes by serious ones when a complication occur (hemorrhage, perforation).Despite the fact, that the diagnosis is suspected clinically and largely evoked on the radiologic exams, it requires path anatomic confirmation. Observations : The authors report three cases of girls aged respectively 2, 6 and 12 years without previous medical history, which first showed diffuse abdominal pain and periodicals, the radiological assessment including ultrasound abdominal CT scan and barium strongly suspected duplication in all three cases; however, confirmation was made by pathologists in three cases. Surgical excision has healing in our three patients. Conclusion : Our retrospective work consists of a survey of three gastric duplication cases seen at our hospital between years 1988 and 2008. It insists on different clinical and radiological aspects; relate diagnostic difficulties and therapeutic choices. Finally our set is particular by the presence of islands of heterotopic pancreatic tissue in all cases.