VP11.18: Foregut and midgut duplication cysts with ileal atresia

Abstract

Foregut and midgut duplication cysts associated with ileal atresia are not common gastrointestinal tract malformation. Thoracal and abdominal cystic masses was found in a young mother primigravida at 27 weeks of pregnancy on ultrasound. There was huge cystic mass measuring 44.0 x 42.0 mm unilaterally in the right inferoposterior hemithorax and cystic mass in central-left abdomen with segmental small bowel distention. Our preliminary diagnosis was CCAM type I or foregut duplication cyst. Delivery occurred by Caesarean section at 39 weeks with delivering a baby boy weighing 3700g. He had episodic bloody stool and dispnoe. Performed thoracal MRI and huge cystic mass measuring 55.0 x 52.0 mm was found in the right posteroinferior hemithorax, diagnosing CCAM Type 1 or foregut malformation. Neonate was taken up for thoracotomy on first month of life and huge cystic mass was resected and histopatological findings confirmed foregut duplication cyst. The baby was discharge home. A period of bloody stool was repeated and later he was entered to clinic with profuse intestinal bleeding. The exploratory laparotomy was done, distal ileal atresia with perforated terminal ileal duplication cyst was confirmed at surgery. Mentioned above segment of small bowel was resected and sometime later he was discharged home with recovery. Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.