Chiar C I, Elango T, Sivaneswaran L, Umasangar R, Mohan N
Hospital Taiping, Department of Surgery, Perak, Malaysia.
Med J Malaysia. 2017 Feb;72(1):83-84.
Alimentary tract duplication is a rare congenital anomaly which may involve any part of the alimentary tract extending from stomach to rectum. Clinical presentation may mimic an inflamed appendix as described in this case. A 9-year-old boy with a clinical diagnosis of perforated appendix was noted to have a normal appendix intra-operatively. On further search for an underlying pathology, a gangrenous ileal duplication was discovered. En-bloc resection with primary bowel anastomosis was done. Histopathology report revealed a gangrenous small bowel duplication. We discuss the preoperative diagnostic dilemma and management options in approaching this rare entity.
消化道重复畸形是一种罕见的先天性异常，可累及从胃到直肠的消化道任何部位。如本病例所述，其临床表现可能类似阑尾炎。一名临床诊断为阑尾穿孔的9岁男孩在术中发现阑尾正常。进一步寻找潜在病损时，发现了一段坏疽性回肠重复畸形。进行了整块切除及肠道一期吻合术。组织病理学报告显示为坏疽性小肠重复畸形。我们讨论了术前诊断难题及处理这种罕见疾病的治疗选择。
