A Case of Jejunal Duplication Mimicking Duodenal Atresia

Abstract

A one-day-old girl who showed bilious vomiting was sent to our hospital. An abdominal X-ray demonstrated a double bubble sign. Duodenal atresia was suspected preoperatively by gastrointestinal study. Emergency laparotomy revealed a cystic jejunal duplication associated with 360° torsion of the intestine. Complete excision of the cyst without adjacent bowel resection was done and the postoperative course was uneventful. Intestinal duplication is a relatively rare entity of congenital diseases and occurs at any region of the alimentary tract. It shows a variety of symptoms. In our case, because of the intestinal volvulus it was difficult to rule out duodenal atresia. We describe this unique case and the surgical treatment of cystictype small bowel duplications.