Download PDF
CC BY 4.0 · European J Pediatr Surg Rep. 2018; 06(01): e94-e96
DOI: 10.1055/s-0038-1675378
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Intestinal Duplication and Hirschsprung's Disease: An Extremely Rare and Misleading Combination

Fabrizio Vatta
1   Department of Pediatric Surgery, Fondazione IRCCS Policlinico San Matteo, Pavia, Lombardia, Italy
,
Alessandro Raffaele
1   Department of Pediatric Surgery, Fondazione IRCCS Policlinico San Matteo, Pavia, Lombardia, Italy
,
Noemi Pasqua
1   Department of Pediatric Surgery, Fondazione IRCCS Policlinico San Matteo, Pavia, Lombardia, Italy
,
Marco Brunero
1   Department of Pediatric Surgery, Fondazione IRCCS Policlinico San Matteo, Pavia, Lombardia, Italy
,
Gloria Pelizzo
2   Department of Pediatric Surgery, Ospedale dei Bambini G Di Cristina, Palermo, Italy
,
Luigi Avolio
1   Department of Pediatric Surgery, Fondazione IRCCS Policlinico San Matteo, Pavia, Lombardia, Italy
› Author Affiliations
Further Information

Publication History

13 July 2018

19 September 2018

Publication Date:
26 December 2018 (online)

   Permissions and Reprints

Abstract

Hirschsprung's disease and, more rarely, intestinal duplication can both cause intestinal obstruction in neonates. The simultaneous occurrence of these two diseases is reported in only two studies, and in both cases, intestinal duplication was an incidental finding, as it had not determined clinical intestinal occlusion. This paper reports a unique case of coexistence of the two conditions, with both causing intestinal obstruction, delayed appropriate, and definitive surgical treatment.

Keywords

intestinal duplication - Hirschsprung's disease - intestinal occlusion
 

  • References

  • 1 Heuckeroth RO. Hirschsprung disease - integrating basic science and clinical medicine to improve outcomes. Nat Rev Gastroenterol Hepatol 2018; 15 (03) 152-167
    PubMedGoogle Scholar
  • 2 Tam PK. Hirschsprung's disease: a bridge for science and surgery. J Pediatr Surg 2016; 51 (01) 18-22
    CrossrefPubMedGoogle Scholar
  • 3 Bahrami A, Joodi M, Moetamani-Ahmadi M. , et al. Genetic background of Hirschsprung disease: a bridge between basic science and clinical application. J Cell Biochem 2018; 119 (01) 28-33
    CrossrefPubMedGoogle Scholar
  • 4 Jeziorczak PM, Warner BW. Enteric duplication. Clin Colon Rectal Surg 2018; 31 (02) 127-131
    Article in Thieme ConnectPubMedGoogle Scholar
  • 5 Favara BE, Franciosi RA, Akers DR. Enteric duplications. Thirty-seven cases: a vascular theory of pathogenesis. Am J Dis Child 1971; 122 (06) 501-506
    CrossrefPubMedGoogle Scholar
  • 6 Bentley JF, Smith JR. Developmental posterior enteric remnants and spinal malformations: the split notochord syndrome. Arch Dis Child 1960; 35: 76-86
    CrossrefPubMedGoogle Scholar
  • 7 Bremer JL. Diverticula and duplications of the intestinal tract. Arch Pathol (Chic) 1944; 38: 132-140
    PubMedGoogle Scholar
  • 8 Robert E, Piessen G, Besson R, Triboulet JP. Late malignancy within rectal duplication and Hirschsprung's disease. Colorectal Dis 2011; 13 (10) e357
    CrossrefPubMedGoogle Scholar
  • 9 Shera AH, Shera TA, Shera FA. , et al. Hirschsprung's disease with bowel duplication a rarest of rare anomalous association. J Pediatr Neonatal Care. 2017; 7 (02) 00283
    PubMedGoogle Scholar
  • 10 Berger S, Ziebell P, OFFsler M, Hofmann-von Kap-herr S. Congenital malformations and perinatal morbidity associated with intestinal neuronal dysplasia. Pediatr Surg Int 1998; 13 (07) 474-479
    CrossrefPubMedGoogle Scholar
  • 11 Mellish RW, Koop CE. Clinical manifestations of duplication of the bowel. Pediatrics 1961; 27: 397-407
    CrossrefPubMedGoogle Scholar