Tubular subtotal form of the small intestinal doublication

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Abstract

Duplication of the gastrointestinal tract is a relatively rare malformation. The incidence is approximately 1 in 10 000 live births with the small intestinal duplication in most cases. Malformations with a long duplication part are considered technically complex. A successfully treated clinical case of the subtotal small intestinal duplication in a child is presented in the article. The mid-median mini-laparotomy was performed and a subtotal 1 meter length small intestinal duplication was revealed (from the Treitz’s ligament to the ileum in 50 cm from the ileocolic valve). The proximal part of the intestinal duplication and its mucous membrane of the distal part with the common wall were completely removed. Histological examination found ectopia of the gastric mucosa and pancreatic tissue. Surgical treatment of this malformation is aimed at the complete removal of the duplication part due to possible ectopia of the gastric mucosa or pancreatic tissue. If the resection of an entire part of the intestinal duplication is technically impossible, the mucous membrane can be removed.

About the authors

Andrei V. Pisklakov

Omsk State Medical University; Regional Children’s Clinical Hospital

Author for correspondence.
Email: pisklakovomsk@mail.ru
ORCID iD: 0000-0001-7594-7723

Dr. Sci. (Med.), Professor, Head of the Department of Pediatric Surgery; Head of the Center for Pathology, Reproductive Organs and Pelvic Surgery

Russian Federation, Omsk

Denis A. Fedorov

Regional Children’s Clinical Hospital

Email: fedorov72@rambler.ru
ORCID iD: 0000-0002-2746-7079

Cand. Sci. (Med.), Head of Pediatric Surgery

Russian Federation, Omsk

Sergey V. Moroz

Regional Children’s Clinical Hospital

Email: maclaud@rambler.ru
ORCID iD: 0000-0003-4075-4037

Head of 2nd Surgical Department

Russian Federation, Omsk

Vyacheslav I. Ponomarev

Omsk State Medical University

Email: pvikust@yandex.ru
ORCID iD: 0000-0002-2555-7994

Dr. Sci. (Med.), Professor, Professor of the Department of Pediatric Surgery

Russian Federation, Omsk

Anatoly V. Lysov

Omsk State Medical University

Email: prof_lysov@mail.ru
ORCID iD: 0000-0002-2874-6686

Dr. Sci. (Med.), Professor, Professor of the Department of Pediatric Surgery

Russian Federation, Omsk

Alla E. Lubavina

Regional Children’s Clinical Hospital

Email: alla_lubavina@rambler.ru
ORCID iD: 0000-0002-0728-9965

Cand. Sci. (Med.), Head of the Pathology Department

Russian Federation, Omsk

References

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Supplementary files

Supplementary Files
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1. JATS XML
2. Fig. 1. Patient T. The appearance of the intestinal duplication

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3. Fig. 2. Remote area of the intestinal duplication

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4. Fig. 3. Proximal part of small intestine duplication. Ectopia of the pancreatic tissue is marked by an arrow. H&E staining. Magnification ×50.

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5. Fig. 4. Fusion of small intestine duplication. Ectopia of the gastric mucosa is marked by an arrow. H&E staining. Magnification ×50.

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