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Z Gastroenterol 2006; 44(5): 391-394
DOI: 10.1055/s-2006-926496
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© Karl Demeter Verlag im Georg Thieme Verlag KG Stuttgart · New York

Dünndarmduplikatur mit ektoper Magenschleimhaut als Ursache chronischer Unterbauchschmerzen

Duplication of the Alimentary Tract with Ectopic Gastric Mucosa as Cause of Lower Abdominal PainM. Born1 , H. Reutter2
  • 1Radiologische Klinik der Universität Bonn, Direktor: Professor Dr. H. Schild
  • 2Kinderklinik der Universität Bonn, Direktor: Professor Dr. M. Lentze
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Publication History

Publication Date:
10 May 2006 (online)

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Zusammenfassung

Duplikaturen des Verdauungstraktes sind seltene Fehlbildungen, die zumeist schwierig zu diagnostizieren sind. Aufgrund unspezifischer Symptome können sie andere Erkrankungen imitieren und zu Fehldiagnosen wie einer Appendizitis führen. Es wird über einen 9-jährigen Jungen berichtet, bei dem aufgrund chronischer rezidivierender Unterbauchschmerzen eine laparoskopische Appendektomie durchgeführt wurde. Ursächlich für die Beschwerden war jedoch eine Dünndarmduplikatur mit ektoper Magenschleimhaut, die zu einem Ulkus und zu einer Invagination geführt hatte. Mit der hochauflösenden Sonographie war die Invagination nachweisbar.

Abstract

Duplications of the alimentary tract are rare congenital anomalies, which may be difficult to diagnose. They cause unspecific symptoms and may mimic appendicitis. The authors report the case of a 9-year-old boy with recurrent pain in the right lower abdomen who underwent laparoscopic appendectomy. The painful episodes were, however, caused by a duplication with ectopic gastric mucosa, which had lead to an ulceration and an intussusception. Sonographically using a high resolution linear probe (7.5 MHz) the ileal intussusception could be demonstrated.

Schlüsselwörter

Gastrointestinaltrakt - Duplikatur - Magenschleimhaut - Invagination - Appendektomie

Key words

Gastrointestinal tract - intestinal duplication - gastric mucosa - intussusception - appendectomy

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Dr. M. Born

Radiologische Klinik, Universität Bonn

Adenauerallee 119

53113 Bonn

Phone: ++ 49/2 28/2 87 32 25

Fax: ++ 49/2 28/2 87 35 66

Email: mark.born@ukb.uni-bonn.de