A Case Report: Ileal Duplication: A Rare Entity Uncovered through Clinical Vigilance
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Abstract
Ileal duplication is a rare condition seen which is a rare congenital anatomical abnormality of alimentary tract. It has an incidence of 1 in 4500 births. This disease can exhibit diverse manifestation but the exact etiologies still unclear.
Hereby, we reported a 5-year-old boy who was mistakenly diagnosed with perforated appendicitis and he presented with 5 days history of right sided abdominal pain with gastrointestinal losses symptoms. He was scheduled for open appendicectomy with Lanz incision. Intra-operatively, noted gangrenous ileal duplication with blinded endand he underwent right hemicolectomy. Post-operatively, he is improving well he was successfully discharged from ward. Histopathology report showed gangrenous tubular small bowel duplication with extensive area of haemorrhagic necrosis.
Gastrointestinal duplication cysts are uncommon congenital anomalies, 80% of which are diagnosed before 2-years of age. Clinical presentation depend upon the location, type, size and mucosal lining of the duplication. Most of the duplications are diagnosed incidentally.
The treatment of choice is complete surgical excision with anastomosis. The resection of adjacent bowel is often recommended due to potential complications like ulceration, hemorrhage and malignant changes. Ileal duplication presented with diverse manifestations which can misleading diagnosis and management. More accurate diagnostic tools are needed to improve our care with early intervention.
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