2021 Volume 57 Issue 7 Pages 1066-1070
We experienced treating two cases by ileocecal-valve-preserving operation for the intestinal duplications with cysts attached to the ileocecal valve. Case 1 was a four-month-old girl admitted to our hospital because of vomiting. She was diagnosed as having small bowel obstruction because of intestinal duplications of the terminal ileum. An emergency surgery was performed. Case 2 was a three-month old boy admitted to a local hospital because of vomiting and bloody stool. He was diagnosed as having intussusception for which reduction failed; therefore, he was transferred to our institute. On the basis of CT images, he was finally diagnosed as having intussusception due to intestinal duplications, and an emergency operation was performed. In both cases, the lesions were attached to the ileocecal valve, and the ileocecal-valve-preserving operation was selected. A small transverse ileotomy made it possible to resect the lesions completely and to preserve the ileocecal valve. There were no postoperative nutritional problems in our cases. As the intestinal duplications at the terminal ileum are usually located on the mesentery side of the valve, ileocecal resection or mucosectomy has been selected for many reported cases. However. our techniques seem to be better for avoiding incomplete resection and nutritional problems.
