Abstract
A 7-year-old boy with a jejunal duplication had been asymptomatic until he developed severe abdominal pain following a fall. Preoperative radiographs, CT scan, and abdominal ultrasonography revealed a huge cystic lesion of the small bowel with a tear in the adjacent intestinal wall. Immediate laparotomy disclosed a severely inflamed enteric cyst attached to the dilated jejunum 120 cm distal to the ligament of Treitz. The cyst and attached jejunum were resected and uneventful recovery followed. In this case minimal abdominal trauma was considered to have triggered the sudden clinical manifestation of this previously silent congenital anomaly.
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