Duplication caecale : à propos d'un cas

Résumé

Gastrointestinal duplications and particularly caecal duplication are rare congenital malformations which presentation can mimic other surgical diseases, making their diagnosis difficult. It may present as intestinal obstruction in neonates and infants. A surgical management is the treatment of choice. The diagnosis can then be made or confirmed by histopathologic analysis. We describe a case of a 3 month-old boy with caecal duplication who reached our ward due to incoercible vomiting. On initial evaluation, vitals were stable. The abdomen was globular but soft and non-tender and painless on palpation. Eight hours after hospitalization, vomiting became bilious and the abdomen tender with gas and fecal matter obstruction. Abdominal X-ray has shown dilated ileal and colic loops with multiple fluid levels. The patient underwent abdominal laparotomy and we identified the caecal duplication which was very stretched and shared the same wall with the cecum. The histopathological examination of the resected specimen confirmed the diagnosis of caecal duplication. In conclusion, We recommend considering the diagnosis of intestinal duplication in cases of acute or subacute intestinal obstruction.