Artigo Revisado por pares

Intestinal Duplication with Calcification

1964; Wiley; Volume: 37; Issue: 441 Linguagem: Inglês

10.1259/0007-1285-37-441-706

ISSN

1748-880X

Autores

J. R. G. BASTABLE,

Tópico(s)

Soft tissue tumor case studies

Resumo

A case report is presented of a patient with intestinal duplication, where scattered calcification showed on the plain radiograph. A search of the literature revealed only one other case of duplication with calcification. Master T.B., aged nine weeks, was admitted as an emergency on November 5, 1953. For 12 days after every feed he had had forcible vomits of curdled milk and yellow fluid. He was a second child. The pregnancy and delivery had been uneventful. Birth weight was 5 lb. 14 oz., and breast feeding had been satisfactorily established. On examination. The abdomen was considerably distended with a ladder pattern of small intestinal peristalsis. A large swelling occupied the right abdomen extending from the umbilicus to the right flank and from the costal margin to the right iliac fossa. This tense lump moved slightly on respiration and was dull to percussion. No other abnormality was detected. Following admission the abdominal distension subsided on conservative treatment. In the straight X-ray film, a large oval swelling lay on the right side of the abdomen and was stippled with irregular and discrete areas of calcification (Figs. 1 and 2). On barium enema examination, the ascending colon and hepatic flexure were displaced to the left, although the caecum was in the right iliac fossa, while the ascending colon showed a pressure defect. Pyelography was unsuccessful.

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