OJPed  Vol.3 No.4 , December 2013
Alimentary tract duplications in infancy and childhood. A 25-year experience with focus on rare types of the disease
ABSTRACT

Background: Alimentary tract duplications (ATDs) are rare congenital anomalies of the gut tube, seen mainly in neonates and infants. Their presentations are often mimicking other conditions, thus posing a diagnostic challenge. Surgical treatment is required in all cases. Objective: The aim of this study is to present our experience in the diagnosis and management of this condition. Subjects and Method: We, retrospectively, reviewed 7 duplications in 7 patients and analyzed sex, age, clinical presentation, location, complications, diagnostic work-up, surgical methods and post-operative course. Encountered diagnostic and surgical difficulties were also reviewed in two extremely rare cases. Results: Patients’ age varied between 2 months and 10 years. All duplications were single. Six of them were intra-abdominal and one thoracoabdominal Three ADTs were asymptomatic and discovered during routine X-ray imaging. One ADT involving the cecum was mimicking appendicitis and complicated by recurrent intussusceptions. The thoracoabdominal one proved a surgical challenge as it was a completely isolated ATD. All patients underwent surgery without postoperative complications. We conclude that despite their rarity, ATDs require a high level of clinical suspicion, especially if they are presented as thoracic masses. Appropriate diagnostic investigation of the pediatric patients is always necessary to avoid delay in diagnosis.


Cite this paper
Zavras, N. , Christianakis, E. , Papakonstantinou, D. , Velaoras, K. , Tsilikas, K. and Ereikat, K. (2013) Alimentary tract duplications in infancy and childhood. A 25-year experience with focus on rare types of the disease. Open Journal of Pediatrics, 3, 324-330. doi: 10.4236/ojped.2013.34058.
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