[Severe hemorrhage intestinal in a child with ileal duplication and brief entity review].
Intestinal duplications are very uncommon congenital malformations located in the mesenteric edge of the small bowel, particularly in the ileum. Over 60% of the patients become symptomatic during the first year of life whereas the remainder demonstrates symptoms at school age or adulthood. The wide spectrum of symptoms and unspecific signs frequently simulate other diseases. Gastrointestinal hemorrhage is the most noteworthy complication, which can cause severe anemia and shock. In the case we describe an 11-year-old girl experienced massive intermittent intestinal hemorrhage, anemic syndrome and intense abdominal pain over 15 months. In this patient, hemoglobin levels rose up to 6 g/dL necessitating several hemotransfusion. Multiple diagnosis and examinations were carried out until finally the gammagram with Tc99m disclosed an ectopic gastric mucosa. Using a laparotomy an intestinal duplication was found in the terminal ileum. In this paper the intestinal duplication is analyzed and the importance of considering it as a differential diagnosis in any kind of bleeding of the digestive tube is discussed.
Castro-Castañeda
S
S
Especialista en Cirugía Pediátrica. Hospital General de Zona No. 89 del Instituto Mexicano del Seguro Social (IMSS) Jalisco, México.
Chávez-Delgado
M E
ME
Cerda-Camacho
F
F
D002648:Child; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000473:pathology* / Q000601:surgery; D006801:Humans; D007082:Ileum / Q000002:abnormalities* / Q000601:surgery*; D010535:Laparoscopy; D012720:Severity of Illness Index