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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Main Authors: Diana García Rodríguez, Yisel González Ríos, Leidelén Esquivel Sosa, Abel Armenteros García
Format: Article
Language:Spanish
Published: Centro Provincial de Información de Ciencias Médicas. Cienfuegos 2023-03-01
Series:Medisur
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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.
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institution Kabale University
issn 1727-897X
language Spanish
publishDate 2023-03-01
publisher Centro Provincial de Información de Ciencias Médicas. Cienfuegos
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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