<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2184-0628</journal-id>
<journal-title><![CDATA[Gazeta Médica]]></journal-title>
<abbrev-journal-title><![CDATA[Gaz Med]]></abbrev-journal-title>
<issn>2184-0628</issn>
<publisher>
<publisher-name><![CDATA[Círculo Médico]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2184-06282020000400377</article-id>
<article-id pub-id-type="doi">10.29315/gm.v7i4.319</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Duplicação Intestinal: Causa Rara de Oclusão em Adulto]]></article-title>
<article-title xml:lang="en"><![CDATA[Intestinal Duplication: A Rare Cause of Occlusion in Adults]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[Nádia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gomes]]></surname>
<given-names><![CDATA[Diogo Carrola]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Matos]]></surname>
<given-names><![CDATA[Ricardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Paixão]]></surname>
<given-names><![CDATA[Isabel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro Hospitalar Universitário Lisboa Central Serviço Cirurgia Geral ]]></institution>
<addr-line><![CDATA[Lisboa ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>12</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>12</month>
<year>2020</year>
</pub-date>
<volume>7</volume>
<numero>4</numero>
<fpage>377</fpage>
<lpage>380</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2184-06282020000400377&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2184-06282020000400377&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2184-06282020000400377&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo A duplicação do tubo digestivo é uma patologia rara, geralmente diagnosticada em idade jovem. O diagnóstico tardio pode associar-se a complicações como a oclusão intestinal, a hemorragia digestiva ou a perfuração de víscera oca. Apresentamos o caso de uma doente de 60 anos de idade que recorreu ao serviço de urgência por quadro de dor abdominal e obstipação. Na tomografia computorizada abdominopélvica apresentava volumoso fecaloma do cólon sigmoideu que condicionava oclusão intestinal, pelo que foi submetida a cirurgia urgente. No intraoperatório verificou-se presença de duplicação incompleta do cólon esquerdo, que terminava em fundo cego ao nível do reto médio. Esta duplicação levou à formação de um volumoso fecaloma no lúmen duplicado, condicionando oclusão por compressão do cólon funcionante. Foi realizada uma ressecção tipo Hartmann, com colostomia em cano de espingarda, com o lúmen duplicado proximalmente. O pós-operatório decorreu sem intercorrências, tendo sido submetida a cirurgia de restabelecimento da continuidade intestinal ao fim de 6 meses.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Duplication of the digestive tract is a rare condition, usually diagnosed at a young age. Late diagnosis can be associated with complications such as bowel obstruction, hemorrhage, or perforation. We present the case of a 60-year-old patient admitted to the emergency department due to abdominal pain and constipation. In the computed tomography scan, she presented a large fecaloma of the sigmoid colon causing large bowel obstruction. Intraoperatively there was an incomplete duplication of the left colon, which ended in a cul-de-sac at the mid-rectum. This duplication led to the formation of a large fecaloma in the duplicated colon that compressed and obstructed the functioning lumen. Hartmann&#8217;s operation with a double barrel colostomy was performed. The postoperative period was uneventful; bowel continuity was restored 6 months later.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Anomalias do Aparelho Digestivo]]></kwd>
<kwd lng="pt"><![CDATA[Obstrução Intestinal]]></kwd>
<kwd lng="en"><![CDATA[Digestive System Abnormalities]]></kwd>
<kwd lng="en"><![CDATA[Intestinal Obstruction]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gross]]></surname>
<given-names><![CDATA[RE]]></given-names>
</name>
<name>
<surname><![CDATA[Holcomb Jr]]></surname>
<given-names><![CDATA[GW]]></given-names>
</name>
<name>
<surname><![CDATA[Farber]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Duplications of the alimentary tract]]></article-title>
<source><![CDATA[Pediatrics]]></source>
<year>1952</year>
<volume>9</volume>
<page-range>448-68</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hackam]]></surname>
<given-names><![CDATA[DJ]]></given-names>
</name>
<name>
<surname><![CDATA[Zalev]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Burnstein]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Rotstein]]></surname>
<given-names><![CDATA[OD]]></given-names>
</name>
<name>
<surname><![CDATA[Koo]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Enteric duplication in the adult, derived from the foregut, midgut and hindgut: presentation, patterns and literature review]]></article-title>
<source><![CDATA[Can J Surg]]></source>
<year>1997</year>
<volume>40</volume>
<page-range>129-33</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Iyer]]></surname>
<given-names><![CDATA[CP]]></given-names>
</name>
<name>
<surname><![CDATA[Mahour]]></surname>
<given-names><![CDATA[GH]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Duplications of the alimentary tract in infants and children]]></article-title>
<source><![CDATA[J Pediatr Surg]]></source>
<year>1995</year>
<volume>30</volume>
<page-range>1267-70</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Holcomb]]></surname>
<given-names><![CDATA[GW]]></given-names>
</name>
<name>
<surname><![CDATA[Gheissari]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[O&#8217;Neill]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
<name>
<surname><![CDATA[Shorter]]></surname>
<given-names><![CDATA[NA]]></given-names>
</name>
<name>
<surname><![CDATA[Bishop]]></surname>
<given-names><![CDATA[HC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Surgical management of alimentary tract duplications]]></article-title>
<source><![CDATA[Ann Surg]]></source>
<year>1989</year>
<volume>209</volume>
<page-range>167-74</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rowling]]></surname>
<given-names><![CDATA[JT]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Some observations on gastric cysts]]></article-title>
<source><![CDATA[Br J Surg]]></source>
<year>1959</year>
<volume>46</volume>
<page-range>441-5</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[McPherson]]></surname>
<given-names><![CDATA[AG]]></given-names>
</name>
<name>
<surname><![CDATA[Trapnell]]></surname>
<given-names><![CDATA[JE]]></given-names>
</name>
<name>
<surname><![CDATA[Airth]]></surname>
<given-names><![CDATA[GR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Duplication of the colon]]></article-title>
<source><![CDATA[Br J Surg]]></source>
<year>1969</year>
<volume>56</volume>
<page-range>138-42</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bremer]]></surname>
<given-names><![CDATA[JL]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Diverticula and duplications of the intestinal tract]]></article-title>
<source><![CDATA[Arch Pathol]]></source>
<year>1944</year>
<volume>38</volume>
<page-range>132-40</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Correia-Pinto]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Romero]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Carvalho]]></surname>
<given-names><![CDATA[JL]]></given-names>
</name>
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Guimarães]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Estevão-Costa]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Neonatal perforation of a Y-shaped sigmoid duplication]]></article-title>
<source><![CDATA[J Pediatr Surg]]></source>
<year>2001</year>
<volume>36</volume>
<page-range>1422-4</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Okur]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Keskin]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Zorludemir]]></surname>
<given-names><![CDATA[U]]></given-names>
</name>
<name>
<surname><![CDATA[Olcay]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Tubular duplication of the hindgut with genitourinary anomalies]]></article-title>
<source><![CDATA[J Pediatr Surg]]></source>
<year>1992</year>
<volume>27</volume>
<page-range>1239-40</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kang]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[An]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Chung]]></surname>
<given-names><![CDATA[DH]]></given-names>
</name>
<name>
<surname><![CDATA[Cho]]></surname>
<given-names><![CDATA[HY]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Adenocarcinoma arising in a colonic duplication cyst: a case report and review of the literature]]></article-title>
<source><![CDATA[Korean J Pathol]]></source>
<year>2014</year>
<volume>48</volume>
<page-range>62-5</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
