DOI: 10.12890/2025_005423

Jejunal duplication in a 10-year-old boy presenting with generalized oedema and abdominal distension

Authors

  • Thitima Ngoenmak Department of Pediatrics, Faculty of Medicine, Naresuan University, Phitsanulok, Thailand
  • Chaiyaporn Virochsangaroon Department of Pathology, Faculty of Medicine, Naresuan University, Phitsanulok, Thailand
  • Krittaporn Phruksarudee Department of Pediatrics, Faculty of Medicine, Naresuan University, Phitsanulok, Thailand
  • Napat Vimtrimate Department of Pediatrics, Faculty of Medicine, Naresuan University, Phitsanulok, Thailand
  • Pattarawarin Wata Department of Surgery, Faculty of Medicine, Naresuan University, Phitsanulok, Thailand

thitiman@nu.ac.th

Keywords

Jejunal duplication, pediatric surgery, hypoalbuminemia

Abstract

Background: Gastrointestinal tract duplications are rare congenital anomalies, with the jejunum being the second most common site after the ileum. These duplications can vary in size, location, and presence of ectopic mucosa, significantly impacting clinical presentation and often requiring surgical intervention.
Case presentation: A 10-year-old Thai boy with haemoglobin (Hb) E trait and iron deficiency anaemia presented with significant oedema and abdominal distention. Laboratory investigations revealed isolated hypoalbuminemia. Imaging studies, including computed tomography (CT) scan, demonstrated a large, loculated, rim-enhancing air-fluid collection adjacent to the jejunum, along with mild dilatation and wall thickening of the affected jejunal loop. The patient underwent exploratory laparotomy, which included jejunal resection and jejunojejunal end-to-end anastomosis.
Conclusion: Jejunal duplications are uncommon in children and can present diagnostic challenges, potentially leading to serious complications. This case underscores the importance of considering jejunal duplication in paediatric patients with unexplained abdominal distention and protein-losing enteropathy. Early recognition and timely surgical management are crucial to prevent severe complications and improve patient outcomes.

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References

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Gross findings of the dissected jejunal duplication segment. A) Markedly dilated loops of the small intestine sharing a common wall and mesentery at the jejunum, leading to an intraoperative diagnosis of tubular jejunal duplication

Published

2025-04-28

Issue

Vol. 12 No. 5 (2025)

Categories

How to Cite

1.
Ngoenmak T, Virochsangaroon C, Phruksarudee K, Vimtrimate N, Wata P. Jejunal duplication in a 10-year-old boy presenting with generalized oedema and abdominal distension. EJCRIM [Internet]. 2025 Apr. 28 [cited 2026 Nov. 3];12(5). Available from: https://ejcrim.com/index.php/ejcrim/article/view/5423