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Segmental dilatation of the ileum in a healthy adolescent

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Abstract

Segmental intestinal dilatation is a rare entity presenting overwhelmingly in infants and young children with congenital malformations, anemia, or history of gastrointestinal pathology, characterized by a focally distended segment of bowel with abrupt transition points without an obstructing barrier. We present a 16-year-old girl with no significant medical history who presented with bowel obstruction clinically. Segmental dilatation of the ileum was evident on a CT scan and small bowel series. Following surgical resection, pathologic examination of the segment revealed the presence of heterotopic gastric mucosa. The girl’s symptoms resolved after surgery. Awareness of the imaging presentation of this entity can inform the evaluation of older children with nonspecific symptoms mimicking bowel obstruction.

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Authors and Affiliations

  1. Department of Radiology, New York Presbyterian Hospital-Weill Cornell Medical Center, 520 E. 70th St., New York, NY, 10021, USA

    Akash D. Shah, Arzu Kovanlikaya & Paula W. Brill

  2. Department of Pathology, New York Presbyterian Hospital-Weill Cornell Medical Center, New York, NY, USA

    Debra Beneck

  3. Department of Surgery, New York Presbyterian Hospital-Weill Cornell Medical Center, New York, NY, USA

    Nitsana Spigland

Authors
  1. Akash D. Shah
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  2. Arzu Kovanlikaya
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  3. Debra Beneck
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  4. Nitsana Spigland
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  5. Paula W. Brill
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Corresponding author

Correspondence to Akash D. Shah.

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Shah, A.D., Kovanlikaya, A., Beneck, D. et al. Segmental dilatation of the ileum in a healthy adolescent. Pediatr Radiol 39, 1350–1353 (2009). https://doi.org/10.1007/s00247-009-1383-6

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  • DOI: https://doi.org/10.1007/s00247-009-1383-6

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