Jejunal duplication in a 10-year-old boy presenting with generalized oedema and abdominal distension
Background: Gastrointestinal tract duplications are rare congenital anomalies, with the jejunum being the second most common site after the ileum. These duplications can vary in size, location, and presence of ectopic mucosa, significantly impacting clinical presentation and often requiring surgical...
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SMC MEDIA SRL
2025-04-01
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| Series: | European Journal of Case Reports in Internal Medicine |
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| Online Access: | https://www.ejcrim.com/index.php/EJCRIM/article/view/5423 |
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| author | Thitima Ngoenmak Chaiyaporn Virochsangaroon Krittaporn Phruksarudee Napat Vimtrimate Pattarawarin Wata |
| author_facet | Thitima Ngoenmak Chaiyaporn Virochsangaroon Krittaporn Phruksarudee Napat Vimtrimate Pattarawarin Wata |
| author_sort | Thitima Ngoenmak |
| collection | DOAJ |
| description | Background: Gastrointestinal tract duplications are rare congenital anomalies, with the jejunum being the second most common site after the ileum. These duplications can vary in size, location, and presence of ectopic mucosa, significantly impacting clinical presentation and often requiring surgical intervention.
Case presentation: A 10-year-old Thai boy with haemoglobin (Hb) E trait and iron deficiency anaemia presented with significant oedema and abdominal distention. Laboratory investigations revealed isolated hypoalbuminemia. Imaging studies, including computed tomography (CT) scan, demonstrated a large, loculated, rim-enhancing air-fluid collection adjacent to the jejunum, along with mild dilatation and wall thickening of the affected jejunal loop. The patient underwent exploratory laparotomy, which included jejunal resection and jejunojejunal end-to-end anastomosis.
Conclusion: Jejunal duplications are uncommon in children and can present diagnostic challenges, potentially leading to serious complications. This case underscores the importance of considering jejunal duplication in paediatric patients with unexplained abdominal distention and protein-losing enteropathy. Early recognition and timely surgical management are crucial to prevent severe complications and improve patient outcomes. |
| format | Article |
| id | doaj-art-50c79178edf8479e8e4fccc5e7665e2b |
| institution | OA Journals |
| issn | 2284-2594 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | SMC MEDIA SRL |
| record_format | Article |
| series | European Journal of Case Reports in Internal Medicine |
| spelling | doaj-art-50c79178edf8479e8e4fccc5e7665e2b2025-08-20T02:11:34ZengSMC MEDIA SRLEuropean Journal of Case Reports in Internal Medicine2284-25942025-04-0110.12890/2025_0054234958Jejunal duplication in a 10-year-old boy presenting with generalized oedema and abdominal distensionThitima Ngoenmak0Chaiyaporn Virochsangaroon1https://orcid.org/0009-0005-0334-9851Krittaporn Phruksarudee2https://orcid.org/0009-0002-1912-222XNapat Vimtrimate3https://orcid.org/0009-0004-4401-9288Pattarawarin Wata4https://orcid.org/0009-0006-6577-0366Department of Pediatrics, Faculty of Medicine, Naresuan University, Phitsanulok, ThailandDepartment of Pathology, Faculty of Medicine, Naresuan University, Phitsanulok, ThailandDepartment of Pediatrics, Faculty of Medicine, Naresuan University, Phitsanulok, ThailandDepartment of Pediatrics, Faculty of Medicine, Naresuan University, Phitsanulok, ThailandDepartment of Surgery, Faculty of Medicine, Naresuan University, Phitsanulok, ThailandBackground: Gastrointestinal tract duplications are rare congenital anomalies, with the jejunum being the second most common site after the ileum. These duplications can vary in size, location, and presence of ectopic mucosa, significantly impacting clinical presentation and often requiring surgical intervention. Case presentation: A 10-year-old Thai boy with haemoglobin (Hb) E trait and iron deficiency anaemia presented with significant oedema and abdominal distention. Laboratory investigations revealed isolated hypoalbuminemia. Imaging studies, including computed tomography (CT) scan, demonstrated a large, loculated, rim-enhancing air-fluid collection adjacent to the jejunum, along with mild dilatation and wall thickening of the affected jejunal loop. The patient underwent exploratory laparotomy, which included jejunal resection and jejunojejunal end-to-end anastomosis. Conclusion: Jejunal duplications are uncommon in children and can present diagnostic challenges, potentially leading to serious complications. This case underscores the importance of considering jejunal duplication in paediatric patients with unexplained abdominal distention and protein-losing enteropathy. Early recognition and timely surgical management are crucial to prevent severe complications and improve patient outcomes.https://www.ejcrim.com/index.php/EJCRIM/article/view/5423jejunal duplicationpediatric surgeryhypoalbuminemia |
| spellingShingle | Thitima Ngoenmak Chaiyaporn Virochsangaroon Krittaporn Phruksarudee Napat Vimtrimate Pattarawarin Wata Jejunal duplication in a 10-year-old boy presenting with generalized oedema and abdominal distension European Journal of Case Reports in Internal Medicine jejunal duplication pediatric surgery hypoalbuminemia |
| title | Jejunal duplication in a 10-year-old boy presenting with generalized oedema and abdominal distension |
| title_full | Jejunal duplication in a 10-year-old boy presenting with generalized oedema and abdominal distension |
| title_fullStr | Jejunal duplication in a 10-year-old boy presenting with generalized oedema and abdominal distension |
| title_full_unstemmed | Jejunal duplication in a 10-year-old boy presenting with generalized oedema and abdominal distension |
| title_short | Jejunal duplication in a 10-year-old boy presenting with generalized oedema and abdominal distension |
| title_sort | jejunal duplication in a 10 year old boy presenting with generalized oedema and abdominal distension |
| topic | jejunal duplication pediatric surgery hypoalbuminemia |
| url | https://www.ejcrim.com/index.php/EJCRIM/article/view/5423 |
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