Duplication of Small Intestine With Perforated Peptic Ulcer In Ectopic Gastric Mucosa

Abstract
THE ANOMALIES of the alimentary tract known under the term of "duplications" are not frequently seen,1 except perhaps in a specialty institution. Even so, most of the larger series of these anomalies were collected over a period of several years. Two of the longer series are those of Gross and associates2 who studied 67 cases seen in the Children's Hospital of Boston, during a period of 22 years, and Sieber,3 in 1956, who reported a total of 25 cases from a pediatric service, collected in the course of 21 years. These malformations may be symptomless or may cause a variety of signs and symptoms depending on the site and type of the anomaly. The symptoms may range from bouts of abdominal pain to complete or partial obstruction of a portion of the gastrointestinal tract. Occult hemorrhage may lead to severe unexplained anemia or, in some cases, to

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