سردرد مزمن به دنبال ضربه به سر: مشكل پزشكي- مشكل قانوني

Report of a rare case of thoracic duodenal duplication

Introduction: Intestinal duplication is a congenital disorder C?f Alimentary tract that can occur in any part C?f gastrointestinal tract (G1T) in both Cystic and Tubutarform. Based on its site, size and associated complications, il has various clinical presentations. The most important clinicalfeatures (!( the thoracic duodenal duplication include nausea, vomiting, colicky abdominal pain, weight loss. dyspnea and cough. Hemorrhage due to peptic ulcer can also add lip to ʹhe problem. Case Report.The case was a 2- year- old boy thenpresented with dyspnea, colicky abdominalpain, nausea, vomiting and occasionally high gradefever.Chest Xrav and Clscan demonstrated a cyst in the right hemithorax. However there were no positivefindings infavor of hydatid cyst or abscess in laboratory investigations. Right thoracotomy incision demonstrated the above mentationed cyst in righ hemithorax. The cyst extended to the diaphragm and in to abdomen being attached to duodenum" After giving a Medline incision the cyst was separated/rom the duodenum, The patient was discharged on the 8/;ʹ day. However he returned with pleural effusion, for which chest tube was placed. Conclusion: The thoroco - abdominal type of duodenal duplication is the rarest type gastrointestinal tract duplications.Ln addition 10 Gtsvmptoms such as nausea, vomiting and abdominalpain it is associated with respiratory features. making its diagnosis difficult. Treatment is surgical: they are removed by both thoracotomy and laparotomy incisions. In the long run, the most important complication ofshese cysts are conseqventlv hemorrhage andperforation. Fortunately on time diagnosis and surgery ofthis patient spared him the mentioned complication. The pathological evaluation ofthe duplicated cyst mucusa demonstrated intestinal, gastric, lymphoid and ureteral cells.