Abstract
Enteric duplication is a rare entity in adults and elderly. We report a case of 62 year old male who presented with features of acute abdomen for a duration of two days. On examination abdomen was distended and diffuse tenderness and guarding was present all over the abdomen. However there was no rigidity. Investigations such as X-ray erect abdomen ultrasonogram CECT abdomen failed to detect enteric duplication cyst preoperatively. Intra-operatively enteric duplication cyst measuring 10times7times5 cm which was perforated and communicating with the lumen of the jejunum was found. Complete excision of the enteric duplication cyst with resection of the involved jejunum with end-to-end anastomosis was done. The rare differential diagnosis of duplication cyst should be considered in adult patients with cystic lesions of the gastro-intestinal tract. Surgical treatment is necessary due to the probable risk of malignancy of duplication cysts.
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