Ileal duplication cyst associated with segmental ileal stenosis and neonatal perforation

Abstract

A prenatally diagnosed terminal ileal duplication cyst associated with prenatal segmental mesenteric vascular thrombosis, ileal stenosis and proximal ileal perforation presenting in the neonatal period with bilious vomiting secondary to obstruction and perforation proximal to the segmental ileal stenosis in the proximal ileum has been reported. Plain X-ray, ultrasound scans and contrast studies were helpful in diagnosis. She underwent exploratory laparotomy, resection of terminal ileal duplication cyst with end-to-end anastomosis, resection of perforated stenotic proximal ileal segment with double barrel ileostomy formation uneventfully. She had staged closure of ileostomy and recovered well.