Intestinal duplicity with ultrasound diagnosis. A case report
Intestinal duplication is a rare condition that is diagnosed and resolves within the first two years of life. They can be diverticular, cystic or tubular, communicating and non-communicating. The symptoms vary with the type, size, location and mucosa that covers them. This research aims to present t...
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Centro Provincial de Información de Ciencias Médicas. Cienfuegos
2023-03-01
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Online Access: | http://medisur.sld.cu/index.php/medisur/article/view/5508 |
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author | Diana García Rodríguez Yisel González Ríos Leidelén Esquivel Sosa Abel Armenteros García |
author_facet | Diana García Rodríguez Yisel González Ríos Leidelén Esquivel Sosa Abel Armenteros García |
author_sort | Diana García Rodríguez |
collection | DOAJ |
description | Intestinal duplication is a rare condition that is diagnosed and resolves within the first two years of life. They can be diverticular, cystic or tubular, communicating and non-communicating. The symptoms vary with the type, size, location and mucosa that covers them. This research aims to present the case of a pediatric patient diagnosed with ileal intestinal duplication, in which imaging tests contributed to the definitive diagnosis. This is a 16-month-old female patient who presented with diffuse, intermittent colicky abdominal pain, bloody stools, abdominal distention, and irritability. A simple abdominal X-ray revealed distention of the intestinal loops, such as air-fluid levels and the presence of gas in the rectum. Ultrasound revealed a cystic image towards the right hypochondrium, in close contact with the adjacent intestinal loop, double wall sign and fluid-fluid level. The diagnosis of ileal intestinal duplication was suggested, which was confirmed with a biopsy after surgery. Ultrasound is the test of first choice in the diagnosis of this condition. It shows the double wall sign with an inner echogenic layer (epithelium) and an outer hypoechoic layer corresponding to the muscle layers. The methods of imaging studies are of vital importance for its diagnosis, it is the abdominal ultrasound that provides an accurate diagnosis, being harmless for the patient. |
format | Article |
id | doaj-art-1a565f8e891b43b891b80f1436715c7b |
institution | Kabale University |
issn | 1727-897X |
language | Spanish |
publishDate | 2023-03-01 |
publisher | Centro Provincial de Información de Ciencias Médicas. Cienfuegos |
record_format | Article |
series | Medisur |
spelling | doaj-art-1a565f8e891b43b891b80f1436715c7b2025-01-30T21:29:00ZspaCentro Provincial de Información de Ciencias Médicas. CienfuegosMedisur1727-897X2023-03-012124434492260Intestinal duplicity with ultrasound diagnosis. A case reportDiana García Rodríguez0Yisel González Ríos1Leidelén Esquivel Sosa2Abel Armenteros García3Hospital Provincial Pediátrico Universitario José Luis Miranda. Villa Clara. Cuba.Hospital Provincial Pediátrico Universitario José Luis Miranda. Villa Clara. Cuba.Hospital Provincial Pediátrico Universitario José Luis Miranda. Villa Clara. Cuba.Hospital Provincial Pediátrico Universitario José Luis Miranda. Villa Clara. Cuba.Intestinal duplication is a rare condition that is diagnosed and resolves within the first two years of life. They can be diverticular, cystic or tubular, communicating and non-communicating. The symptoms vary with the type, size, location and mucosa that covers them. This research aims to present the case of a pediatric patient diagnosed with ileal intestinal duplication, in which imaging tests contributed to the definitive diagnosis. This is a 16-month-old female patient who presented with diffuse, intermittent colicky abdominal pain, bloody stools, abdominal distention, and irritability. A simple abdominal X-ray revealed distention of the intestinal loops, such as air-fluid levels and the presence of gas in the rectum. Ultrasound revealed a cystic image towards the right hypochondrium, in close contact with the adjacent intestinal loop, double wall sign and fluid-fluid level. The diagnosis of ileal intestinal duplication was suggested, which was confirmed with a biopsy after surgery. Ultrasound is the test of first choice in the diagnosis of this condition. It shows the double wall sign with an inner echogenic layer (epithelium) and an outer hypoechoic layer corresponding to the muscle layers. The methods of imaging studies are of vital importance for its diagnosis, it is the abdominal ultrasound that provides an accurate diagnosis, being harmless for the patient.http://medisur.sld.cu/index.php/medisur/article/view/5508duplicación intestinalultrasonografía |
spellingShingle | Diana García Rodríguez Yisel González Ríos Leidelén Esquivel Sosa Abel Armenteros García Intestinal duplicity with ultrasound diagnosis. A case report Medisur duplicación intestinal ultrasonografía |
title | Intestinal duplicity with ultrasound diagnosis. A case report |
title_full | Intestinal duplicity with ultrasound diagnosis. A case report |
title_fullStr | Intestinal duplicity with ultrasound diagnosis. A case report |
title_full_unstemmed | Intestinal duplicity with ultrasound diagnosis. A case report |
title_short | Intestinal duplicity with ultrasound diagnosis. A case report |
title_sort | intestinal duplicity with ultrasound diagnosis a case report |
topic | duplicación intestinal ultrasonografía |
url | http://medisur.sld.cu/index.php/medisur/article/view/5508 |
work_keys_str_mv | AT dianagarciarodriguez intestinalduplicitywithultrasounddiagnosisacasereport AT yiselgonzalezrios intestinalduplicitywithultrasounddiagnosisacasereport AT leidelenesquivelsosa intestinalduplicitywithultrasounddiagnosisacasereport AT abelarmenterosgarcia intestinalduplicitywithultrasounddiagnosisacasereport |