PATHOLOGICAL CLASSIFICATION AND DIAGNOSIS OF INTESTINAL DUPLICATION

Objective To determine the pathological classification and the clinica l characteristics of intestinal duplication. Methods Eighty-four pedia tric patients with intestinal duplication were proved on operation in the last 20 years in the Second Hospital of Harbin Medical University and Harbin Children's Hospital. The pathological classifications were as follows: enteral septum type (2), parietal cyst type (9), parentera l canal type (31), parenteral cyst type (35), and solitary type (1). T he clinical presentations and complications included: abdominal mass ( 24), illius (41), hemorrhage oi digestive tract (15) and intestinal pe rforation with peritonitis (3). Two asymptomatic cases were discovered incidentally. Results Among the 84 patients, 82 healed, 1 newborn com plicated by intestinal fistula died of septicemia, and the other one d ied of toxic shock. Conclusions Recognizing the pathological types, co mmon presentations and complications, and applying the corresponding e xamination methods timely, doctors may improve the diagnostic accuracy .