An unusual aspect of the ileocecal junction in an adult patient suggesting localized agenesis of the ileocecal valve - 15/04/26
Doi : 10.1016/j.clinre.2026.102830
Myriam Ayari 1, 2, ⁎ 
, Sarrah Ben Azouz 1, 2, Amira Chehaider 1, 2, Taieb Jomni 1, 2
, Sarrah Ben Azouz 1, 2, Amira Chehaider 1, 2, Taieb Jomni 1, 2 1 Gastroenterology Department, Internal Security Forces Hospital La Marsa, Tunis, Tunisia
2 Faculty of Medicine of Tunis, Tunis El Manar University, Tunis, Tunisia
⁎ Corresponding author: Myriam Ayari, Internal Security Forces Hospital La Marsa, Gastroenterology Department, Tunis 2070, Tunisia. Internal Security Forces Hospital La Marsa Gastroenterology Department Tunis 2070 Tunisia
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Disponible en ligne depuis le Wednesday 15 April 2026
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Highlights |
• | What is already known on this subject? Congenital ileocecal valve anomalies are exceptionally rare and are usually reported in neonates or children, often with intestinal obstruction. |
• | What are the new findings? Agenesis of ileocecal valve lips can be observed in asymptomatic adult patients. The report provides detailed endoscopic markers for diagnosis: the complete absence of valvular lips, a " rosette-like " radial convergence of ileal mucosal folds, and the presence of spontaneous peristaltic activity at the orifice. |
• | How might it impact on clinical practice in the foreseeable future? Recognition of this rare variant may prevent misdiagnosis and avoid unnecessary investigations by distinguishing congenital agenesis from acquired ileocecal pathology. |
Plan
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