[Thoraco-abdominal intestinal duplications. Case report].
The case of a 22-year-old patient with a thoracoabdominal duplication of the alimentary tract is described. The chest radiograph, with a large cyst in the posterior mediastinum and vertebral abnormalities and a barium swallow showing the abdominal part of the duplication, were diagnostic. At operation a malrotation of the midgut was found and the duplication was resected, leaving esophagus and small bowel intact. An explanation for association of the two malformations - vertebral abnormalities and malrotation - was sought in the literature, particularly that concerning embryogenesis. The following conclusions were reached: 1. Duplications of the alimentary tract are a heterogeneous group with three different embryological faults in development. 2. According to the so-called notochordal theory, vertebral abnormalities and malrotation of the midgut are usual and should be expected in thoracoabdominal duplications of the alimentary tract.
D000328:Adult; D006801:Humans; D007421:Intestine, Small / Q000002:abnormalities / Q000196:embryology; D007422:Intestines / Q000002:abnormalities* / Q000601:surgery; D008297:Male; D013131:Spine / Q000002:abnormalities / Q000196:embryology
Uber thorakoabdominale intestinale Duplikaturen. Ein Fallbericht.