El Berni Yassine, Moufakkir Aziz, Bouali Mounir, El Bakouri Abdelilah, El Hattabi Khalid, Bensardi Fatimazahra, Fadil Abdelaziz
Department of of Visceral Surgical Emergency, CHU Ibn Rochd, Casablanca, Morocco.
Faculty of Medicine and Pharmacy, Hassan II University of Casablanca, Casablanca, Morocco.
Ann Med Surg (Lond). 2022 Jun 8;79:103971. doi: 10.1016/j.amsu.2022.103971. eCollection 2022 Jul.
and importance: Duplications, which rare anomalies of the gastroin-testinal tract, may be located in any part of the gastro-intestinal system from the oral cavity to the anus. The aim of this paper is to present and discuss a case of an asymptomatic jejunal duplication cyst associated with adhesive small bowel obstruction in an elderly lady.
A 70-year-old female, presented to the emergency room with a history of recurrent abdominal, non-bilious vomiting, and abdominal distension for 5 days with no passage of stool and flatus for 3 days. Abdominal Computed tomography scan showed dilated fluid-filled small bowel loops with abrupt transition to collapsed small bowel associated with a focal kink and narrowing of the lumen. The patient was rushed for emergency laparotomy for diagnosis of adhesive small bowel obstruction. To our surprise, jejunal duplication cysts were found.
the intestinal duplication cysts are rare congenital anomalies. The clinical presentation is variable and depends on the site and the related complications. Surgical resection is deemed appropriate management due to known complications like obstruction, hemorrhage, perforation, and malignant degeneration.
It's important to include intestinal duplication in the differential diagnosis of acute abdomen.
及其重要性：胃肠道重复畸形是胃肠道的罕见异常，可位于从口腔到肛门的胃肠道系统的任何部位。本文的目的是呈现并讨论一例老年女性无症状空肠重复囊肿合并粘连性小肠梗阻的病例。
一名70岁女性因反复腹痛、非胆汁性呕吐、腹胀5天，无排便及排气3天就诊于急诊室。腹部计算机断层扫描显示扩张的充满液体的小肠袢，与塌陷的小肠突然过渡，伴有局部扭结和管腔狭窄。患者因粘连性小肠梗阻诊断紧急接受剖腹探查术。令我们惊讶的是，发现了空肠重复囊肿。
肠重复囊肿是罕见的先天性异常。临床表现多样，取决于部位和相关并发症。由于已知的并发症如梗阻、出血、穿孔和恶性变，手术切除被认为是合适的治疗方法。
在急腹症的鉴别诊断中纳入肠重复畸形很重要。
