ArticleJournal of surgical case reports2025
Parenchyma-sparing resection for a complex jejunal duplication with a shared mesenteric blood supply: a case report.
Article in Journal of surgical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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10 authors.
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Abstract
Gastrointestinal (GI) duplication cysts present significant diagnostic and surgical challenges, particularly with complex anatomy. We report a 2-year-old male with chronic obstructive symptoms caused by a mixed-type jejunal duplication. While initial ultrasound was equivocal, contrast-enhanced computed tomography delineated a cystic mass on the mesenteric border, guiding surgical planning. Intraoperatively, a shared mesenteric blood supply with the native jejunum precluded complete resection. A parenchyma-sparing partial excision of the symptomatic, non-communicating portion was performed, preserving the fused communicating segment. Histology confirmed the diagnosis. The patient's recovery was uneventful, with complete symptom resolution at follow-up. This case illustrates that for complex GI duplications, a tailored, parenchyma-sparing resection is a safe and effective strategy when vascular integrity is at risk, shifting the clinical focus from acute management to the necessity of long-term surveillance for the retained segment.
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