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KMID : 0371320070720030258
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Journal of the Korean Surgical Society
2007 Volume.72 No. 3 p.258 ~ p.261
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An Ileal Duplication in a 12-year-old Girl which was Resected by Laparoscopy-assisted Surgery
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Jang Jung-Jin
Kim Hae-Sung
Kim Tae-Hwa
Lee Jeong-Hun
Kim Han-Joon
Jeon Jang-Yeong
Ryu Byoung-Yoon
Kim Hong-Ki
Namkung Sook
Lee Kyung-Hwa
Choi Kyung-Chan
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Abstract
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Gastrointestinal duplication is a rare congenital anomaly which can occur anywhere along the digestive tract. The most common site is the mesenteric border of the terminal ileum. Intestinal duplication usually becomes symptomatic early in life with the severity of symptoms depending on the location and type of mucosal lining. Ectopic gastric mucosa is an associated possibility. Gastrointestinal hemorrhage is the most serious complication, which can cause severe anemia and shock. Another complication, although rare, is carcinoma in a duplicate cyst. We experienced an unusual case of a 12-years-old girl who presented with intermittent abdominal pain and hematochezia. There was no abnormality on Meckel’s scan. Abdominal CT revealed a cystic mass in the pelvic cavity and subsequent transabdominal ultrasound showed the double-layered wall of the duplication. We performed laparoscopy-assisted, segmental resection of the ileum. The patient was discharged without any complication on the 7th postoperative day. (J Korean Surg Soc 2007;72:258-261)
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KEYWORD
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Duplication, Ileum, Laparoscopy-assisted resection
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