Abstract
Gastrointestinal (GI) duplication cysts are rare congenital malformations. It may involve any level of the alimentary tract, but most commonly involves the ileum, oesophagus, and jejunum. Ileal duplication cysts represent approximately 4–8% of GI duplication cysts, the majority of which present in early childhood. We present a case of adult ileal duplication cyst in a 20-year old male found to have an abdominal mass. There are several potential methods to diagnose GI duplication cyst and treatment of choice is complete surgical resection. The Sri Lanka Journal of Surgery 2015; 33(3): 20-21
Highlights
Gastrointestinal duplication cysts are rare congenital malformations occurring in 1 in 4000-5000 live births
Several theories for its aetiology have been postulated. These structures tend to develop prior to complete differentiation of gastrointestinal epithelium and as such are often named after their organ of association [1, 2]
Treatment of duplication cysts can vary depending on the presence of symptoms
Summary
Gastrointestinal duplication cysts are rare congenital malformations occurring in 1 in 4000-5000 live births. They can arise anywhere from mouth to anus and be spherical or tubular in type, having well developed smooth muscle coats, lined by GI mucosa and connected to the bowel. 2 years ago presented with a three-month history of progressively increasing central abdominal pain It was associated with loss of appetite and nausea but no features of dyspepsia or alteration of bowel habits were present. Abdominal examination revealed a mass in the middle and right lower quadrant regions measuring approximately 7 × 5 cm It was soft, fluctuant and mobile horizontally, suggestive of a mesenteric cyst. The cyst and the involved part of ileum was resected and primary bowel anastomosis performed
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