Radiation methods in the diagnosis of gastric doubling in children
https://doi.org/10.22328/2079-5343-2022-13-1-89-94
Abstract
Introduction. Stomach doubling is one of the rarest types of gastrointestinal doubling in the system of pathology of abdominal organs in children. Stomach doubling occurs in 4–8% of cases of gastrointestinal doubling. To a greater extent, it is diagnosed in girls. The rarest localization of doubling is a small curvature of the stomach — 7%.
The purpose of the study: to present the informative value of radiation methods in the diagnosis of gastric doubling by the example of a clinical case.
Material and methods. The work is based on the analysis of clinical data, instrumental, histological studies performed in a children’s hospital in St. Petersburg.
Results: An 8-year-old patient was hospitalized for further examination for cystic formation of the abdominal cavity, detected antenatally at 36 weeks of gestation. At the age of 2 years, MSCT angiography of the abdominal cavity was performed and a differential series between a liver cyst and a doubling of the stomach was exposed. At the control ultrasound, further negative dynamics in size. An MRI revealed that the picture most likely corresponds to a cystic doubling of the stomach. Indications for surgical treatment are exposed. Histologically confirmed variant of stomach doubling.
Conclusion. The multimodal approach allows timely diagnosis of the presented pathology, differential diagnosis of gastric doubling with rare localization and determination of indications for surgical treatment.
About the Authors
N. A. Ilyina
North-Western State Medical University named after I. I. Mechnikov;
St. Petersburg children’s municipal multi-specialty clinical center of high medical technology
Russian Federation
Russian Federation
St. Petersburg
M. V. Golubeva
St. Petersburg children’s municipal multi-specialty clinical center of high medical technology
Russian Federation
Russian Federation
St. Petersburg
I. E. Myagkova
St. Petersburg children’s municipal multi-specialty clinical center of high medical technology
Russian Federation
Russian Federation
St. Petersburg
A. A. Umansky
North-Western State Medical University named after I. I. Mechnikov
Russian Federation
Russian Federation
St. Petersburg
A. M. Matyunin
North-Western State Medical University named after I. I. Mechnikov
Russian Federation
Russian Federation
St. Petersburg
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Review
For citations:
Ilyina N.A., Golubeva M.V., Myagkova I.E., Umansky A.A., Matyunin A.M. Radiation methods in the diagnosis of gastric doubling in children. Diagnostic radiology and radiotherapy. 2022;13(1):89-94. (In Russ.) https://doi.org/10.22328/2079-5343-2022-13-1-89-94
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