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thoracoabdominal duplication with hematochezia as an onset symptom in a baby:A case report

World Journal of Clinical Cases 2021年第24期9卷 7261-7268页

作者： Shao-Bo Yang Hong Yang Shan Zheng Gong Chen Department of Surgery Children’s Hospital of Fudan UniversityNational Children’s Medical CenterShanghai 201102China

BACKGROUND Alimentary tract duplication is a rare congenital disease that may occur in any part of the alimentary tract,whereas thoracoabdominal duplications only account for approximately 2%of all alimentary tract duplication *** symptoms,including abdominal pain,abdominal distension,vomiting,gastrointestinal bleeding,chest discomfort,chest pain,and shortness of breath,may be present in patients with abdominal or thoracic *** SUMMARY A 10-mo-old infant,with a free previous medical history,was admitted to our hospital with melena three times in 6 *** magnetic resonance imaging of the thoracic vertebrae revealed multiple cervicothoracic vertebral deformities,spina bifida,meningomyelocele towards the posterior mediastinum,and possible concurrent *** gastroenterography indicated intestinal malrotation.A laparoscopic abdominal examination was performed,and the operation was intraoperatively converted to *** case was diagnosed intraoperatively as thoracoabdominal intestinal *** intestinal duplications in the abdomen and large part of the thorax were *** results of postoperative pathological examination confirmed that this case was alimentary tract duplication and that part of the duplication contained gastric *** infant recovered well and was discharged 1 wk after the surgery.A follow-up computed tomography scan 3 mo after operation showed myelomeningocele while the posterior mediastinal cyst was significantly *** thoracoabdominal duplication should be considered if a child has suspected abdominal intestinal duplication with hematochezia as an onset symptom.

关键词： thoracoabdominal duplication thoracoabdominal Hematochezia Alimentary tract Case report

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