Intestinal duplication
| Classification according to ICD-10 | |
|---|---|
| Q43.4 | Duplication of the intestine |
| ICD-10 online (WHO version 2019) | |
Intestinal duplication is a congenital malformation of the intestine , in which a part of the intestine is created twice in the mesentery (in some places 2 lumens ) . An intestinal duplication can take the form of a tube or just a short, then more rounded section in the form of a cyst . It can either be connected to the regular intestine or completely isolated. Visually, the intestinal duplication is similar to the normal intestinal wall, but it can also contain non-local tissue.
The intestinal dupicature can occur in the small intestine (50%) as well as in the colon (30%) or in the rest of the intestine.
Symptoms of illness
Symptoms are vomiting with the addition of bile , bulging abdominal wall (distension of the abdomen ) and delayed bowel movement. The intestinal duplication is an important differential diagnosis for appendicitis-like pelvic complaints .
Investigation methods
The intestinal duplication can be detected by an X-ray examination with a contrast medium (“fractionated gastrointestinal passage”). As a rule, however, the suspected diagnosis is not made with X-rays, but with ultrasound based on the wall structures typical of the gut . With magnetic resonance imaging , intestinal duplicates can also be recorded. The most common differential diagnosis in girls is the ovarian cyst . The diagnosis is confirmed laparoscopically (ie using the keyhole technique).
therapy
The surgical removal of the intestinal duplication is therapeutically possible ( GOÄ - number 3174) .
Individual evidence
- ^ KL Moore: Embryology. Urban & Fischer-Verlag, 2007, ISBN 978-3-437-41112-0 , p. 308. (online at: books.google.de )
- ^ DV Michalk: Differential Diagnosis Pediatrics. Urban & Fischer-Verlag, 2005, ISBN 3-437-22530-8 , p. 358. (online at: books.google.de )
- ^ CP Speer: Pediatrics. Springer, 2005, ISBN 3-540-20791-0 , p. 733. (online at: books.google.de )
- ^ MH Lang: The GOÄ commentary. Thieme Verlag, 2002, ISBN 3-13-107282-2 , p. 136. (online at: books.google.de )
