Abstract
The rare disorder, segmental dilatation of the intestine (SDI), leads to functional obstruction without stenosis and with normally functioning ganglion cells. No theory as to the pathogenesis of this congenital malformation has been proposed as yet. We hypothesize that SDI is caused by a disturbance during splitting of the notochord from the entoderm as a part of a common complex consisting of SDI, congenital diverticula, and intestinal duplications.
References
Aterman K, Abaci F (1967) Heterotopic gastric and esophageal tissue in the colon. Am J Dis Child 113: 552–559
Babut JM, Bracq H, Ricour C, Thomas M, Boureau M, Weisgerber G, Soulie J, Braun P (1977) Les dilatations segmentaires congénitales de l'intestin. Ann Chir Infant 18: 11–19
Barlow B, Goodhue WW, Schullinger JN (1975) Giant congenital diverticulum of the sigmoid colon. J Pediatr Surg 10: 549–550
Bishop HC, Koop CE (1964) Surgical management of duplications of the alimentary tract. Am J Surg 107: 434–442
Black P, Welch KJ, Eraklis AJ (1986) Juxtapancreatic intestinal duplications with pancreatic ductal communication: a cause of pancreatitis and recurrent abdominal pain in childhood. J Pediatr Surg 21: 257–261
Bremer JL (1944) Diverticula and duplications of the intestinal tract. Arch Pathol 38: 132–135
Budde M (1912) Die Bedeutung des Canalis neurentericus für die formale Genese der Rachischisis anterior. Beitr Path Anat 52: 91–129
Carachi R (1982) The split notochord syndrome: a case report on a mixed spinal enterogeneous cyst in a child with spina bifida cystica. Z Kinderchir 35: 32–34
Daum H, Schüler W, Tonnesen H, Holschneider A, Hecker WC (1972) Duplikaturen des Magen-Darm-Traktes, Beitrag zum Ileus im Neugeborenen-, Säuglings-und Kindesalter. Z Kinderchir 11: 64–78
De Lorimier AA, Benzian SR, Gooding CA (1971) Segmental dilatation of the colon. J Roentgenol 112: 100–104
Dénes J, Honti J, Léb J (1967) Dorsal herniation of the gut: a rare manifestation of the split notochord syndrome. J Pediatr Surg 2: 359–363
Devens K, Knorr HD, Neuhäuser G (1968) Doppelbildungen des Magen-Darm-Traktes. Z Kinderchir 5: 384–391
Ehrenpreis T (1965) Pseudo-Hirschsprung's disease. Arch Dis Child 40: 177–179
El Shafie M (1971) Congenital short intestine and cystic dilatation of the colon associated with ectopic anus. J Pediatr Surg 6: 76–77
Etzoni A, Benderly A, Bar-Maor JA (1980) Segmental diltation of the colon, another cause of chronic constipation. Dis Colon Rectum 23: 580–582
Evans A (1929) Developmental enterogenous cysts and diverticula. Br J Surg 17: 34–83
Hecker WC, Hollmann G, Stück B (1963) Persistierender Canalis neurentericus und seine Beziehung zur Entwicklung von Steißbeinteratomen, prä- und postvertebralen enterogenen Cysten und Spaltwirbeln. Arch Klin Chir 309: 662–675
Hemalatha V, Batcup G, Brereton JR, Spitz L (1980) Intrathoracic foregut cyst (foregut duplication) associated with esophageal atresia. J Pediatr Surg 15: 178–180
Hemet J, Fouin-Fortunet H, Fessard J, Ducastelle C, Métayer J (1979) Dilatation segmentaire néonatale de l'intestin grele. Ann Anat Pathol 24: 161–170
Herzog B (1982) Duplikaturen des Verdauungstraktes. In: Bettex M, Genton N, Stockmann M (eds) Kinderchirurgie. Thieme, Stuttgart New York, pp 775–779
Hicken NF, Stevenson VL, Carlquist JH, Coray QB (1948) Multiple duplicative cysts of the duodenum causing acute intestinal obstruction in a girl five and one-half years of age. Am J Surg 76: 92–98
Hofmann S, Löhr J (1972) Retroperitoneale Dippelbildung mit Perforationsperitonitis. Z Kinderchir 11: 79–86
Humphry A, Mancer K, Stephens CA (1980) Obstructive circular-muscle defect in the small bowel in a one-year-old child. J Pediatr Surg 2: 197–198
Irving I, Lister J (1977) Segmental dilatation of the ileum. J Pediatr Surg 12: 103–112
Kremer RM, Lepoff RB, Izant RJ Jr (1970) Duplication of the stomach. J Pediatr Surg 5: 360–364
Ladd WE, Gross RE (1940) Surgical treatment of duplications of alimentary tract. Surg Gymecol Obstet 70: 295–307
Lewis FT, Thyng FW (1908) The regular occurrence of intestinal diverticula in embryos of pig, rabbit and man. Am J Anat 7: 505–509
Lister J, Rickham PP (1978) Duplications of the alimentary tract. In: Rickham PP, Lister J, Irving IM (eds) Neonatal Surgery. Butterworths, London, pp 401–410
Lister J, Zachary RB (1968) Cystic duplications in the tongue. J Pediatr Surg 3: 491–493
MacKellar A, Kennedy JC (1972) Congenital diverticulum of the pharynx simulating esophageal atresia. J Pediatr Surg 7: 408–411
Marsden HB, Gilchrist W (1963) Pulmonary heteroplasia in the terminal ileum. J Pathol 86: 532–534
McLetchie NG, Purves KJ, Saunders RL (1954) The genesis of gastric and certain intestinal diverticula and enterogenous cysts. Surg Gynecol Obstet 99: 135–141
Rehbein F (1976) Kinderchirurgische Operationen. Hipokrates, Stuttgart
Reuter G, Krause I, Bauke G, Markwardt J (1978) Akutes Abdomen durch Perforation eines “Darmmagens” (abortive Darmduplikatur) bei einem Kind. Zentralbl Chir 103: 1055–1061
Rossi R, Giacomoni MA (1973) Segmental dilatation of the jejunum. J Pediatr Surg 8: 335–336
Saunders RL (1943) Combined anterior and posterior spina bifida in living neonatal human female. Anat Rec 87: 255–259
Schwartz DL, Procaccino A, Becker M, Schneider KM, So HB (1983) Segmental colonic duplication presenting as a sigmoid volvulus. Z Kinderchir 38: 338–340
Sherman NJ, Morrow D, Asch M (1978) A triple duplication of the alimentary tract. J Pediatr Surg 13: 187–188
Snyder ME, Luck SR, Hernandez R, Sherman JO, Raffensperger JG (1985) Diagnostic dilemmas of mediastinal cysts. J Pediatr Surg 20: 810–815
Spence RK, Schnaufer L, Mahboubi S (1986) Coexistant gastric duplication and accessory pancreas: clinical manifestations, embryogenesis, and treatment. J Pediatr Surg 21: 68–70
Swenson O, Rathauser F (1959) Segmental dilatation of the colon. A new entity. Am J Surg 97: 734–738
Tandler J (1902) Zur Entwicklungsgeschichte des menschlichen Duodenums in frühen Embryonalstadien. Morphol Jb 29: 187–216
Ueda T, Okamoto E (1972) Segmental dilatation of the ileum. J Pediatr Surg 7: 292–293
Veeneklaas GMH (1952) Pathogenesis of intrathoracic gastrogenic cysts. Am J Dis Child 83: 500–507
Waag K-L, Joppich I (1982) Beitrag zur congenitalen segmentalen Darmdilatation. Z Kinderchir 36: 34–36
Ziv Y, Lombrozo R, Mor C, Dintsman M (1987) Congenital segmental dilatation of small intestine with oesophageal atresia and duodenal atresia in a premature infant. Z Kinderchir 42: 317–318
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Heller, K., Waag, K.L. & Beyersdorf, F. Intestinal duplications — intestinal diverticula — segmental dilatation of the intestine: a common genetic complex. Pediatr Surg Int 4, 249–253 (1989). https://doi.org/10.1007/BF00177493
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DOI: https://doi.org/10.1007/BF00177493