Abstract
Three cases of intestinal duplication were experienced. One was duodenal duplication in a newborn and the other two were ileal duplications in a child and an infant. Case 1 : An 8-year-old female presented with intussusception was operated on because of intestinal obstruction. Operation revealed an induration measuring 1×1.5cm inside of the ileum 50cm proximal to the ileocecal junction. The ileum with the induration was resected. Case 2 : An 8-day-old male was operated on because of a cystic mass in the right upper abdomen. Operation revealed an cystic lesion measuring 5cm in diameter and attached to the duodenum. The cyst was unroofed and the remaining mucosal wall attached to the duodenum was stripped off. Case 3 : A 9-month-old female with a filling defect in cecum demonstrated by barium enema was operated on because of intestinal obstruction. Operation revealed an induration measuring 4 X 3cm inside of the terminal ileum. The ileocecum was resected. In all cases, duplication was demonstrated histologically. Because ectopic gastric tissue, pancreatic tissue and malignancy have been reported in the intestinal duplication, internal drainage alone is not recommended. The procedures of complete removal of the duplication, resection of duplicated intestine or excision of the free wall of the duplication and stripping off of the remaining mucosal wall should be selected.
