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CC BY 4.0 · Surg J (N Y) 2021; 07(01): e14-e17
DOI: 10.1055/s-0040-1722180
Case Report

Tubular Ileal Duplication Causing Perforative Peritonitis in an Adult: A Rare Presentation

Jignesh A. Gandhi 
1   Department of Surgery, Seth G.S. Medical College & K.E.M. Hospital, Mumbai, Maharashtra, India
,
Pravin H. Shinde 
1   Department of Surgery, Seth G.S. Medical College & K.E.M. Hospital, Mumbai, Maharashtra, India
,
Jayati J. Churiwala 
1   Department of Surgery, Seth G.S. Medical College & K.E.M. Hospital, Mumbai, Maharashtra, India
,
Sakina Husain
1   Department of Surgery, Seth G.S. Medical College & K.E.M. Hospital, Mumbai, Maharashtra, India
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Abstract

Background Enteric duplication cysts are a rare congenital abnormality that present more commonly in children than adults. Clinical presentation varies from vague abdominal pain, abdominal lump, iron deficiency anemia to intestinal obstruction due to intussusception or mass effect. We report a tubular ileal duplication in an adult male presenting with an acute abdomen due to perforative peritonitis.

Case A 20-year-old male presented to the emergency department with complains of right lower abdominal pain. On clinical examination and ultrasound scan patient was suspected to have a complicated acute appendicitis (rupture). However, a computed tomography scan was suggestive of perforation in the distal ileum. Emergency exploratory laparotomy revealed a perforated isolated ileal tubular duplication.

Keywords

enterogenous cyst - enteric duplication cyst - duplication cyst - ileal duplication - tubular duplication - perforative peritonitis


Publication History

Received: 01 April 2020

Accepted: 02 September 2020

Article published online:
01 February 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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