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https://hdl.handle.net/2440/8307
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Type: | Journal article |
Title: | Enteric duplications presenting as antenatally detected abdominal cysts: Is delayed resection appropriate? |
Author: | Foley, P. Sithasanan, N. McEwing, R. Lipsett, J. Ford, W. Furness, M. |
Citation: | Journal of Pediatric Surgery, 2003; 38(12):1810-1813 |
Publisher: | W B Saunders Co |
Issue Date: | 2003 |
ISSN: | 0022-3468 1531-5037 |
Abstract: | <h4>Purpose</h4>The aim of this study was to evaluate delayed elective resection of antenatally detected enteric duplication cysts.<h4>Methods</h4>A retrospective casenote study of intraabdominal cysts detected antenatally between January 1991 and January 2002 found 37 fetuses with cysts. Twelve were enteric duplications. Two were duodenal, 1 was an 85-cm tubular jejunoileal duplication, and 9 were ileocecal. Asymptomatic cysts were followed with serial ultrasound scars and resected electively over 14 months.<h4>Results</h4>Three neonates had small bowel obstruction demanding laparotomy: 1 of the 2 infants with duodenal duplication cysts, 1 infant with an ileocecal duplication, and the infant with the tubular duplication. One with an ileocecal duplication became symptomatic at 2 months and underwent a laparotomy. Seven had their duplications resected electively between 6 weeks and 14 months, and the other is still being followed. Four of the 7 asymptomatic duplications electively resected contained gastric mucosa.<h4>Conclusions</h4>Intraabdominal enteric duplication cysts are increasingly likely to be detected antenatally. The majority are likely to remain asymptomatic for several months at least, after which a resection can be planned. The prevalence of gastric mucosa suggests that they should not be left indefinitely. Laparoscopically assisted resection of ileocecal duplications is safe and effective. |
Keywords: | Duodenum Ileum Humans Cysts Digestive System Abnormalities Fetal Diseases Ultrasonography, Prenatal Retrospective Studies Pregnancy Infant Infant, Newborn Female |
DOI: | 10.1016/j.jpedsurg.2003.08.032 |
Published version: | http://dx.doi.org/10.1016/j.jpedsurg.2003.08.032 |
Appears in Collections: | Aurora harvest Obstetrics and Gynaecology publications |
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