Shah Abhishek, Du Jimin, Sun Yutian, Cao Dianbo
Department of Radiology, The First Hospital of Jilin University, Changchun 130021, China.
Case Rep Med. 2012;2012:297585. doi: 10.1155/2012/297585. Epub 2012 Jun 20.
Intestinal duplication in an adult is an uncommon congenital abnormality because only minority of cases present in adulthood. More than 80% of cases occur before the age of two years as an acute abdomen, bowel obstruction or other complications associated with it. Duplication has two types, either cystic or tubular. Here, we report a case of an adult who was diagnosed preoperatively on CT scan as tubular intestinal duplication. CT images showed change in the morphology of the cystic mass after one week of antibiotics administration. On histopathological analysis, the resected duplicated segment had esophageal epithelium in addition to the intestinal gland. So far, we found no report describing CT findings of dynamic change of ileal duplication in the English literatures.
成人肠道重复畸形是一种罕见的先天性异常，因为只有少数病例在成年期出现。超过80%的病例在两岁前出现，表现为急腹症、肠梗阻或与之相关的其他并发症。重复畸形有两种类型，即囊性或管状。在此，我们报告一例成年患者，术前CT扫描诊断为管状肠道重复畸形。CT图像显示抗生素治疗一周后囊性肿块形态发生改变。组织病理学分析显示，切除的重复节段除肠腺外还有食管上皮。到目前为止，我们在英文文献中未发现描述回肠重复畸形动态变化CT表现的报告。
