Case report: Ileocecal preservation for multiple small intestinal duplications

Small-intestinal duplication is a rare congenital developmental anomaly that is mainly single; multiple small-intestinal duplications are rare. Most malformations are located in the ileocecal region. The primary surgical treatment is complete resection of the malformations and adjacent intestinal ducts. However, the ileocecal junction plays an important role in children, and it is difficult to preserve it; multiple intestinal repairs increase the risk of postoperative intestinal fistula, which is a challenge for pediatric surgeons. Herein, we report a case of ileocecal preservation surgery for the treatment of multiple small intestinal duplication malformations near the ileocecal area. The child underwent laparoscopically assisted cyst excision and multiple intestinal repairs and had good postoperative recovery and follow-up.

Automated summary

Small-intestinal duplication is a rare congenital anomaly, with single occurrences being more common than multiple ones. Most malformations are found in the ileocecal region. The main surgical treatment involves complete resection of the malformations and adjacent intestinal ducts. However, preserving the ileocecal junction is challenging, and multiple intestinal repairs increase the risk of postoperative intestinal fistula. Here, we report a case of ileocecal preservation surgery for multiple small intestinal duplications near the ileocecal area, which resulted in successful recovery and follow-up.