caa a22 4500 475753828 CHVBK 20180406123532.0 cr unu---uuuuu 170329e20000501xx s 000 0 eng 10.1007/s005950050621 doi (NATIONALLICENCE)springer-10.1007/s005950050621 Ileal duplication presenting as perforation: Report of a case [Elektronische Daten] [Kazuhiro Sakamoto, Seiji Hasegawa, Yasunobu Yamazaki, Tatsuo Makino, Takashi Suda, Toshio Imada] We describe herein the case of a 10-year-old boy in whom generalized peritonitis was caused by perforation of a tubular communicating ileal duplication cyst. Alimentary tract duplication cysts are rare congenital malformations, found primarily in children under the age of 15 years. The perforation was caused by heterotopic gastric mucosa within the duplication, giving rise to peptic ulceration in the adjacent intestinal mucosa. The presence of heterotopic gastric tissue is a primary cause of perforation that has been reported in as many as one third of patients with small intestine duplications; however, the detection of such ectopic tissue is timeconsuming, and there is no readily available method of diagnosing tubular duplications. Although very few patients present with peritonitis as the initial manifestation, the possibility should be borne in mind when diagnosing and planning therapy for such emergencies, particularly in children. Springer-Verlag, 2000 small intestine nationallicence duplication nationallicence perforation nationallicence Sakamoto Kazuhiro Department of Surgery, Saiseikai Yokohama Nanbu Hospital, 3-2-10 Konandai, Konan-ku, 234-8503, Yokohama, Japan aut Hasegawa Seiji Department of Surgery, Saiseikai Yokohama Nanbu Hospital, 3-2-10 Konandai, Konan-ku, 234-8503, Yokohama, Japan aut Yamazaki Yasunobu Department of Surgery, Saiseikai Yokohama Nanbu Hospital, 3-2-10 Konandai, Konan-ku, 234-8503, Yokohama, Japan aut Makino Tatsuo Department of Surgery, Saiseikai Yokohama Nanbu Hospital, 3-2-10 Konandai, Konan-ku, 234-8503, Yokohama, Japan aut Suda Takashi Department of Surgery, Saiseikai Yokohama Nanbu Hospital, 3-2-10 Konandai, Konan-ku, 234-8503, Yokohama, Japan aut Imada Toshio First Department of Surgery, Yokohama City University School of Medicine, 3-46 Urafune-cho, Minami-ku, 232-0024, Yokohama, Japan aut Surgery Today Springer-Verlag 30/5(2000-05-01), 445-447 0941-1291 30:5<445 2000 30 595 https://doi.org/10.1007/s005950050621 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s005950050621 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Sakamoto Kazuhiro Department of Surgery, Saiseikai Yokohama Nanbu Hospital, 3-2-10 Konandai, Konan-ku, 234-8503, Yokohama, Japan aut NATIONALLICENCE 700 1- Hasegawa Seiji Department of Surgery, Saiseikai Yokohama Nanbu Hospital, 3-2-10 Konandai, Konan-ku, 234-8503, Yokohama, Japan aut NATIONALLICENCE 700 1- Yamazaki Yasunobu Department of Surgery, Saiseikai Yokohama Nanbu Hospital, 3-2-10 Konandai, Konan-ku, 234-8503, Yokohama, Japan aut NATIONALLICENCE 700 1- Makino Tatsuo Department of Surgery, Saiseikai Yokohama Nanbu Hospital, 3-2-10 Konandai, Konan-ku, 234-8503, Yokohama, Japan aut NATIONALLICENCE 700 1- Suda Takashi Department of Surgery, Saiseikai Yokohama Nanbu Hospital, 3-2-10 Konandai, Konan-ku, 234-8503, Yokohama, Japan aut NATIONALLICENCE 700 1- Imada Toshio First Department of Surgery, Yokohama City University School of Medicine, 3-46 Urafune-cho, Minami-ku, 232-0024, Yokohama, Japan aut NATIONALLICENCE 773 0- Surgery Today Springer-Verlag 30/5(2000-05-01), 445-447 0941-1291 30:5<445 2000 30 595 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer