Congenital Cystic Lesions Research Articles

Anterior Cervical Bronchogenic Cyst Mimicking a Thyroglossal Duct Cyst: A Case Report.

A bronchogenic cyst (BC) is a rare congenital cystic lesion, especially when located in the suprahyoid region of the anterior cervical front. We report a case of a male child who was misdiagnosed with a thyroglossal duct cyst due to the clinical presentation of a mass located near the anterior midline of the neck, in the region above the hyoid bone, which moved up and down with swallowing, characteristics consistent with a thyroglossal duct cyst. We excised the lesion under general anesthesia. Histopathological analysis revealed cartilage tissue, pseudostratified columnar epithelium of the cyst wall with cilia and mucous glands, finally diagnosing it as BC. BC should be considered in the differential diagnosis of neck masses.

Enlarging neurenteric cyst at the craniocervical junction with a fluid-fluid level on magnetic resonance imaging: illustrative case.

Neurenteric cysts are relatively rare benign congenital intracranial cystic lesions that enlarge rarely and very slowly. The authors present a case of an enlarging neurenteric cyst at the craniocervical junction with a fluid-fluid level on magnetic resonance imaging (MRI). A 34-year-old man with no significant medical history underwent head MRI to investigate mild headaches. An incidental cystic lesion, approximately 8 mm in diameter, was revealed at the craniocervical junction. Serial follow-up MRI showed cyst enlargement with a fluid-fluid level. Four years later, the cyst reached a size of 15 mm and was surgically removed. The cyst contained cloudy fluid with a high protein concentration, without any bleeding or tissue fragments. Pathological examination confirmed the diagnosis of a neurenteric cyst. The patient recovered well, was discharged home, and has remained recurrence free for 2 years. The growth dynamics of the relatively rapidly expanding neurenteric cyst at the craniocervical junction were monitored over time using MRI. This cyst exhibited the distinctive feature of a fluid-fluid level as it enlarged. Investigating the mechanisms underlying fluid-fluid level formation may offer novel insights into the pathogenesis of cyst enlargement. https://thejns.org/doi/10.3171/CASE24180.

Biliary Disorders, Anomalies, and Malignancies in Children.

Biliary abnormalities in children are uncommon, and the spectrum of biliary disorders is broader than in adult patients. Unlike in adults, biliary disorders in children are rarely neoplastic and are more commonly rhabdomyosarcoma rather than cholangiocarcinoma. Pediatric biliary disorders may be embryologic or congenital, such as anatomic gallbladder anomalies, anomalous pancreaticobiliary tracts, various cholestatic processes, congenital cystic lesions, or genetic conditions. They may also be benign, such as biliary filling anomalies, biliary motility disorders, and biliary inflammatory and infectious disorders. Distinguishing these entities with a single imaging modality is challenging. US is the primary imaging modality for initial evaluation of biliary abnormalities in children, due to its wide availability, lack of ionizing radiation, and low cost and because it requires no sedation. Other examinations such as MRI, CT, and nuclear medicine examinations may provide anatomic and functional information to narrow the diagnosis further. Hepatobiliary-specific contrast material with MRI can provide better assessment of biliary anatomy on delayed images than can traditional MRI contrast material. MR cholangiopancreatography (MRCP) allows visualization of the intra- and extrahepatic biliary ducts, which may not be possible with endoscopic retrograde cholangiopancreatography (ERCP). Suspected biliary atresia requires multiple modalities for diagnosis and timely treatment. Determining the type of choledochal cyst calls for a combination of initial US and MRCP. Many benign and malignant biliary masses require biopsy for definitive diagnosis. Knowledge of the imaging appearances of different pediatric biliary abnormalities is necessary for appropriate imaging workup, providing a diagnosis or differential diagnosis, and guiding appropriate management. ©RSNA, 2024 Test Your Knowledge questions for this article are available in the supplemental material.

Tail gut cyst adenocarcinoma: A rare entity diagnosed on cytology

Tailgut cyst is a rare benign cystic lesion believed to originate from small portions of the embryonic tailgut, which normally disappear in early foetal development. It is often misdiagnosed due to the general unawareness with this entity and also because of its clinical presentation similar to other common diseases such as perianal fistulas or abscesses.We take this opportunity to report a case of tailgut cyst in a 33-year-old Indian male. The patient had presented with painful swelling in sacral region, which had been gradually increasing in size. The case was diagnosed by fine needle aspiration cytology (FNAC) as adenocarcinoma arising in tailgut cyst and later confirmed by histopathology.Tailgut cysts are congenital cystic hamartomatous lesions, which occur very rarely. They are generally benign, but malignant change or transformation in it has also been reported, which is even rarer in occurrence. FNAC is an effective diagnostic tool, which if applied appropriately can be used for the early detection of these lesions and also malignant transformation of tailgut cyst.

Common Neck and Otomastoid Infections in Children.

Neck infections are common in children, though the clinical presentation is often vague and nonspecific. Therefore, imaging plays a key role in identifying the site and extent of infections, evaluating for potentially drainable collections, and assessing for airway and vascular complications. This review focuses on imaging features associated with common and characteristic neck infections in children to include tonsillar, retropharyngeal, and otomastoid infections; suppurative adenopathy; superimposed inflammation or infection of congenital cystic lesions; and Lemierre syndrome.

Posterior surgical approach for excision of retrorectal epidermal inclusion cyst, a road less travelled by surgeon: case report

Retrorectal epidermal inclusion cysts are rare congenital cystic lesions, mostly an incidental finding usually diagnosed in middle-aged women. Surgical resection is the main stay of treatment and 3 operative approaches are commonly used: abdominal, trans-sacral/coccygeal (posterior), and combined abdomino-posterior depending on the nature and location of the lesion. We report a case of a 22-year-old male presented with complaints of on-off constipation since 4 years, perineal heaviness since 2 years. Based on digital rectal exam, trans-rectal ultrasound, computed tomography, and magnetic resonance imaging findings, a presumptive diagnosis of retrorectal cyst was made. Patient underwent excision of cystic lesion by posterior trans-coccygeal approach. Post operative histopathology confirmed diagnosis of the retrorectal epidermal inclusion cyst. On follow-up after one month, symptoms of constipation and perineal heaviness completely resolved. Posterior resection allows proximal extension for elimination of the infection and in cases of adherence of the cyst to surrounding structures or in malignancy, which require en bloc resection. Posterior approach for resection is preferred for patients with posterior retrorectal cyst or presacral cyst because it provides adequate exposure with minimum dissection.

HETEROTOPIC GASTROINTESTINAL CYST IN THE ORAL CAVITY: A CASE REPORT

The heterotopic gastrointestinal cyst of the oral cavity is a rare congenital lesion that appears in infants and children. It occurs preferentially on the floor of the mouth and has a male predilection. Clinically, it appears as an asymptomatic swelling, and the diagnosis is confirmed by histopathology exam. This study reports a case of a 33-year-old, brown female patient, complaining of swelling and pain below the tongue, with an evolution of 45 days. The patient reported that, at three months old, a congenital cystic lesion was removed, and she was informed about the possibility of recurrence. Physical examination revealed a sessile implantation, and a normochromic and painful swelling in the lingual belly. Excisional biopsy was performed, with a histopathological diagnosis compatible with a heterotopic gastrointestinal cyst. The patient is undergoing follow-up, with no recurrence of the lesion. This case emphasizes the importance knowing about rare lesions with oral manifestations. The heterotopic gastrointestinal cyst of the oral cavity is a rare congenital lesion that appears in infants and children. It occurs preferentially on the floor of the mouth and has a male predilection. Clinically, it appears as an asymptomatic swelling, and the diagnosis is confirmed by histopathology exam. This study reports a case of a 33-year-old, brown female patient, complaining of swelling and pain below the tongue, with an evolution of 45 days. The patient reported that, at three months old, a congenital cystic lesion was removed, and she was informed about the possibility of recurrence. Physical examination revealed a sessile implantation, and a normochromic and painful swelling in the lingual belly. Excisional biopsy was performed, with a histopathological diagnosis compatible with a heterotopic gastrointestinal cyst. The patient is undergoing follow-up, with no recurrence of the lesion. This case emphasizes the importance knowing about rare lesions with oral manifestations.

RARE FOREGUT CYST IN ORAL CAVITY

Foregut cysts are rare congenital choristomas arising from abnormal development of the foregut. Choristomas may comprise several different tissue types, including salivary glands (within the jawbone or gingival tissues), cartilaginous or bony lesions (mostly on the tongue), glial tissue (most common in the nasosinusal tract), or thyroid tissue. The aim of this report is to describe the unusual case of a neonate (2 months old) with a large congenital sublingual cystic lesion preventing breastfeeding, who was initially treated as a sublingual ranula using cryosurgery without success. An incisional biopsy was performed, which diagnosed a foregut cyst. The patient was referred to the Head and Neck Surgery team for enucleation, which resolved the lesion. The patient is under follow-up with no evidence of recurrence in six months. Foregut cysts are rare congenital choristomas arising from abnormal development of the foregut. Choristomas may comprise several different tissue types, including salivary glands (within the jawbone or gingival tissues), cartilaginous or bony lesions (mostly on the tongue), glial tissue (most common in the nasosinusal tract), or thyroid tissue. The aim of this report is to describe the unusual case of a neonate (2 months old) with a large congenital sublingual cystic lesion preventing breastfeeding, who was initially treated as a sublingual ranula using cryosurgery without success. An incisional biopsy was performed, which diagnosed a foregut cyst. The patient was referred to the Head and Neck Surgery team for enucleation, which resolved the lesion. The patient is under follow-up with no evidence of recurrence in six months.

Laparoscopic Approach for the Management of Duodenal Duplication

Introduction: Intestinal duplication cysts are rare congenital malformations, mainly found in the midgut that generate nonspecific symptoms. The clinical presentation is mainly with abdominal pain, intestinal obstruction, and digestive bleeding. The open surgical approach is usually performed. We present a case of a 7-year-old patient in whom an effective laparoscopic management was implemented. Materials and Methods: A 7-year-old patient was admitted because of weight loss and frequent emesis. A mass in the mesogastrium was palpated upon physical examination. Imaging studies showed a lesion with cystic content in the first duodenal portion measuring 4.7 × 4.4 × 5.6 cm, suggestive of duodenal duplication cyst causing obstruction of the gastric outlet tract. Nutritional support was performed with total parenteral nutrition for a week and laparoscopic resection was programmed. Using an open technique, insertion of a 5-mm umbilical port and two other ports of equal size in the right iliac fossa and epigastrium was performed. Upon entry into the abdominal cavity, a dilated duodenal bulb and collapsed second and third portions of the duodenum were seen. Pyloroduodenotomy was performed, and dissection of the muscle fibers showed a cystic lesion in the first portion of the duodenum, located between the muscle layer and the mucosa, which was subsequently completely resected and referred to pathology analysis. The procedure was completed without complications, and the postoperative evolution was adequate, with discharge on the fourth postoperative day. Results: There are few reports of management with minimally invasive techniques for intestinal duplications, Galazka et al. performed a retrospective analysis of patients presented with congenital abdominal cystic lesions between 2011 and 2019. Of the 39 cases analyzed, 6 were found to have intestinal duplications, 4 of these underwent surgical management by laparoscopy without reporting complications, but did not report the exact location of the cysts.1 In the case of duodenal duplication, there is a case report of an 8-month-old patient with a prenatal diagnosis who underwent laparoscopic resection dependent on the medial wall of the second duodenal portion, without postoperative complications.2 Conclusions: The accumulation of secretions within the intestinal duplication cyst leads to progressive growth, with compression of adjacent structures producing pain and obstruction. They are rare malformations with nonspecific symptoms that require surgical management to avoid associated complications; enucleation or resection of the lesion are the pillars of treatment. Despite few reports in the literature, it is possible to perform a laparoscopic approach in this type of pathology analysis. This approach allows short recovery times, early initiation of oral intake, and better cosmetic results. No competing financial interests exist. Patient Consent Statement: All attempts have been exhausted in trying to contact the patient, next of kin, and/or parent/guardian for informed consent to publish their information, but consent could not be obtained. Runtime of video: 2 mins 58 secs The video was presented at “XXIV Congreso Colombiano de Cirugía Pediátrica,” March 2023, Rionegro, Colombia. The video was presented at “48th Congreso Semana Quirúrgica Nacional,” November 2022, Cartagena, Colombia.

Percutaneous drainage of an infected hepatic cyst, responsible for obstructive jaundice by compression on the intrahepatic biliary tract

Hepatic cysts consist of a heterogeneous group of lesions that differ in etiology, prevalence, and clinical manifestations. Liver cystic lesions fall into two main categories: congenital and acquired. Congenital cystic lesions of the liver include polycystic liver disease, simple cysts, ciliated and duct-related liver cysts. Acquired liver cysts are further divided into infected and non-infected. There are two types of infected cysts, parasitic ones (hydatid cysts and amoebic abscesses) and non-parasitic ones, or pyogenic liver abscesses. Infection is a serious complication of cystic liver disease, which can lead to sepsis and death. A diagnosis of cystic infection is usually made by culturing pathogens from the fluid aspirated from the cyst. If an aspirate is not available for testing, the diagnosis of a liver cyst complicated by infection is made by correlating clinical, biochemical, and imaging findings. Infected liver cysts and liver abscesses can be caused by the portal spread of intra-abdominal infections (e.g., appendicitis, diverticulitis, colitis). The placement of a percutaneous drainage catheter allows controlled aspiration of large abscesses for a short-medium period with minimal hemodynamics and physiological stress for the patient. Furthermore, compared to surgical drainage, the results are comparable, while the morbidity is lower.

Congenital Pulmonary Airway Malformations With a Reconsideration and Current Perspective on the Stocker Classification.

Congenital cystic pulmonary lesions (CCPLs) are represented by the following entities: congenital pulmonary airway malformation (CPAM), formerly congenital cystic adenomatoid malformation, extra- and intralobar sequestration (EIS), congenital lobar emphysema (overexpansion), and bronchogenic cyst. The developmental model of CPAM histogenesis by Stocker proposed perturbations designated as CPAM type 0 to type 4 without known or specific pathogenetic mechanisms along the airway from the bronchus to the alveolus. This review highlights mutational events either at the somatic level in KRAS (CPAM types 1 and possibly 3) or germline variants in congenital acinar dysplasia, formerly CPAM type 0, and pleuropulmonary blastoma (PPB), type I, formerly CPAM type 4. The potential for overt malignant progression exists in the case of PPB type I and CPAM type 1 in some cases to well-differentiated mucinous adenocarcinoma. On the other hand, CPAM type 2 is an acquired lesion resulting from interruption in lung development secondary to bronchial atresia. The latter is also regarded as the etiology of EIS whose pathologic features are similar, if not identical, to CPAM type 2. These observations have provided important insights into the pathogenetic mechanisms in the development of the CPAMs since the Stocker classification.

Surgical Repair of Atrial Septal Defect and Lung Lobe Resection for Pulmonary Sequestration and Cystic Malformation in One Stage: A Case Report

Incidence of congenital cystic malformation of lungs ranges from 1 in 11,000 to 1 in 35,000 live birth. Concurrence of Congenital Pulmonary Airway Malformation (CPAM) with congenital heart disease is even infrequent. Even rarer, is the incidence of congenital pulmonary vascular and cystic parenchymal lesions with cardiac defects. The non functioning lung tissue is separated from bronchial tree and vascularised by aberrant artery from the systemic circulation. Simultaneous repair of cardiac and pulmonary defects, though challenging, but are preferable because of surgery being done in single stage with better cosmesis. A 10-yearold female child presented to the hospital with recurrent chest infections and respiratory distress while running since five years of age. The patient underwent atrial septal defect closure and right lower lobectomy for CPAM in one stage through midline sternotomy. We conclude that such complex cases can be managed successfully with meticulous planning and multidisciplinary team approach.

Impact of the Extent of Surgical Resection on Patients With Intradural Extramedullary Bronchogenic Cysts: A Retrospective Institutional Experience and Review of the Literature.

Intradural extramedullary bronchogenic cysts (IEBC) are rare congenital cystic lesions. The clinical manifestations, radiological characteristics, especially the optimal treatment regimen are not well-understood. We retrospectively analyzed a series of patients with confirmed IEBC in Tangdu hospital and reviewed the published works to gain a comprehensive understanding of IEBC. In our institution, nine consecutive patients had pathologically confirmed IEBC between 2005 and 2018. We also identified 27 patients from previous studies. The most common presentations on magnetic resonance imaging (MRI) were hypointensity on T1-weighted images (T1WI), hyperintensity on T2-weighted images(T2WI), and no improvement on T1WI contrast-enhanced with gadolinium (94.4%). All patients in our center and the patients we reviewed received surgical resection; gross total resection (GTR) and partial resection (PR) were achieved in 20 (55.6%) and 16 (44.4%) patients, respectively. The symptom remission rate of patients who underwent GTR was 100%, which was similar to those who underwent PR (93.8%) (P = 0.457). The recurrence rate was 12.5% in the group who underwent PR and nil after GTR (P = 0.202). According to our current investigation, the surgical resection degree is irrelevant to the symptom remission rate. Therefore, we suggest that total resection should not be recommended for cases with tight adhesion. For patients with PR, longer follow-up will be necessary to determine the long-term outcome.

Gastric bronchogenic cyst: a rare congenital cystic lesion of the stomach.

Gastric bronchogenic cyst: a rare congenital cystic lesion of the stomach.

Clinical and cytopathological features of suspected thyroglossal duct cysts and neoplasms arising from them: A large series from a referral cancer center.

Thyroglossal duct cysts (TGDCs) are the most common congenital midline cystic lesions in the neck, and they are often evaluated by fine-needle aspiration. Recognizing the cytomorphologic features of TGDCs and their mimics is important for clinical management. This study examined the clinical, radiological, and cytopathological features of 86 ultrasonography-guided fine-needle aspiration (US-FNA) specimens from clinically suspected TGDCs or malignancies arising from TGDCs and correlated the findings with surgical follow-up and/or imaging studies. According to ultrasound examinations of 66 lesions, 17 (25.8%) were cystic, 8 (12.1%) were cystic with septations, 21 (31.8%) were cystic with solid nodules, and 20 (30.3%) were solid or cystic with internal debris. Cytopathologically, 81 lesions (94%) were categorized as benign, 2 (2%) were categorized as atypical, and 3 (3%) were categorized as malignant. In benign lesions, proteinaceous material (63%), histiocytes (63%), colloid (37%), squamous cells (35%), columnar cells (32%), follicular cells (15%), inflammatory cells (9%), and multinucleated giant cells (9%) were noted. Diagnoses in the benign category included TGDC in 64 patients (75%), TGDC or mimics (colloid nodule/epidermoid cyst) in 14 patients (17%), a colloid nodule in 1 patient, and thyroiditis in 1 patient. Surgical resection, performed in 23 patients, confirmed TGDCs in 12, benign mimics in 7, and carcinoma in 4. Cytopathological features, in conjunction with imaging, allowed a definite diagnosis of TGDC in most patients (75%). The presence of mature squamous cells, thyroid follicular cells, with or without colloid and/or lymphocytes alone allowed a differential diagnosis of TGDC and its mimics in 17%. US-FNA findings could not distinguish primary carcinomas arising from TGDCs from metastatic tumors.

Ultrasound Imaging of Cervical Anatomic Variants.

Embryologic developmental variants of the thyroid and parathyroid glands may cause cervical anomalies that are detectable in ultrasound examinations of the neck. For some of these developmental variants, molecular genetic factors have been identified. Ultrasound, as the first-line imaging procedure, has proven useful in detecting clinically relevant anatomic variants. The aim of this article was to systematically summarize the ultrasound characteristics of developmental variants of the thyroid and parathyroid glands as well as ectopic thymus and neck cysts. Quantitative measures were developed based on our findings and the respective literature. Developmental anomalies frequently manifest as cysts that can be detected by cervical ultrasound examinations. Median neck cysts are the most common congenital cervical cystic lesions, with a reported prevalence of 7% in the general population. Besides cystic malformations, developmental anomalies may appear as ectopic or dystopic tissue. Ectopic thyroid tissue is observed in the midline of the neck in most patients and has a prevalence of 1/100,000 to 1/300,000. Lingual thyroid accounts for 90% of cases of ectopic thyroid tissue. Zuckerkandl tubercles (ZTs) have been detected in 55% of all thyroid lobes. Prominent ZTs are frequently observed in thyroid lobes affected by autoimmune thyroiditis compared with normal lobes or nodular lobes (P = 0.006). The correct interpretation of the ultrasound characteristics of these variants is essential to establish the clinical diagnosis. In the preoperative assessment, the identification of these cervical anomalies via ultrasound examination is indispensable.

Abrogation of mesenchyme-specific TGF-β signaling results in lung malformation with prenatal pulmonary cysts in mice.

The TGF-β signaling pathway plays a pivotal role in controlling organogenesis during fetal development. Although the role of TGF-β signaling in promoting lung alveolar epithelial growth has been determined, mesenchymal TGF-β signaling in regulating lung development has not been studied in vivo due to a lack of genetic tools for specifically manipulating gene expression in lung mesenchymal cells. Therefore, the integral roles of TGF-β signaling in regulating lung development and congenital lung diseases are not completely understood. Using a Tbx4 lung enhancer-driven Tet-On inducible Cre transgenic mouse system, we have developed a mouse model in which lung mesenchyme-specific deletion of TGF-β receptor 2 gene (Tgfbr2) is achieved. Reduced airway branching accompanied by defective airway smooth muscle growth and later peripheral cystic lesions occurred when lung mesenchymal Tgfbr2 was deleted from embryonic day 13.5 to 15.5, resulting in postnatal death due to respiratory insufficiency. Although cell proliferation in both lung epithelium and mesenchyme was reduced, epithelial differentiation was not significantly affected. Tgfbr2 downstream Smad-independent ERK1/2 may mediate these mesenchymal effects of TGF-β signaling through the GSK3β-β-catenin-Wnt canonical pathway in fetal mouse lung. Our study suggests that Tgfbr2-mediated TGF-β signaling in prenatal lung mesenchyme is essential for lung development and maturation, and defective TGF-β signaling in lung mesenchyme may be related to abnormal airway branching morphogenesis and congenital airway cystic lesions.

Minimally Invasive Surgery for Congenital Abdominal Cystic Lesions in Newborns and Infants.

In the variety of congenital abdominal cystic lesions (CACL) of different origin, ovarian cyst is the most common intra-abdominal pathology in female neonates. The prognosis and timing of treatment varies depending on the nature of CACL. This study aimed to assess the results of diagnostics and treatment of CACL. A retrospective analysis was performed of 39 cases of CACL, with the spectrum including ovarian, enteric, mesenteric and pancreatic origin. Outcome of minimally invasive surgery, open surgery or conservative approach was analyzed. Twenty-eight neonates underwent surgery, while 11 were treated conservatively. Twenty patients were treated with a laparoscopic technique and eight with laparotomy combined with laparoscopy. Final diagnosis included: Fifteen cases of ovarian pathology (ovarian torsion in 11 cases), 12 treated laparoscopically and three with laparotomy, six enteric duplications (four laparoscopic and two laparotomic), three mesenteric cysts (one laparoscopic and two laparotomic), two pancreatic cysts (both laparoscopic only), two duodenal stenoses, including duodenal septum (both laparotomies with Heineke-Mikulicz plasty). No blood transfusion apart from two cases requiring re-laparotomy and no early complications were observed in any case; no death occurred. With the strategy of management based on ultrasound and laboratory data, a laparoscopically assisted minimal access approach resulted in minimal risk of complications and complete recovery in all patients, leading to exclusion of oncological risk.

Cross-sectional imaging and laparoscopic findings of diaphragmatic mesothelial cysts

To present cross-sectional imaging, surgical findings, and follow-up results of diaphragmatic mesothelial cysts. Radiological findings for location, size, shape, and internal structure of cysts were reviewed retrospectively. For patients that underwent surgery, surgical reports and laparoscopy images were reviewed. In conservatively managed patients, changes in size and imaging findings of the cyst were assessed during follow-up visits. A total of 13 paediatric cases with an imaging and/or pathological diagnosis of diaphragmatic mesothelial cyst were identified. In all cases, the cystic lesions were located between the diaphragm and the posterolateral aspect of the right lobe of the liver. Eleven lesions (84.6%) had a bi-lobulate shape. Eight of these cases underwent laparoscopic cyst aspiration/unroofing. The postoperative course was uneventful and there were no cases of recurrence. The remaining five cases were managed conservatively with follow-up available in four cases. In three cases (75%), there was reduction in the size of the cysts with a mean volume reduction of 55%. Diaphragmatic mesothelial cysts are congenital cystic lesions that are usually detected incidentally. A common pitfall is incorrect interpretation of the lesion as a hepatic cyst. Conservative management with imaging follow-up can be adopted in asymptomatic cases with typical imaging findings.

A Late Adolescent Girl with Rectal Duplication Cyst in Bangladesh: Case Report

Intestinal duplications, originally described in 1941, are congenital cystic lesions resemblingand associated with part of the gastrointestinal tract. Rectal duplication is the rarest of the allduplications and adolescence presentation of rectal duplication cyst is quite unusual whichis reported here. A 17 year female presented with right gluteal lump. She underwent surgeryand was found to have a smooth cystic mass, which was later found to be a Rectal Duplicationcyst in histopathology. High index of suspicion with other differentials can lead to earlydiagnosis and complete cure of the condition.
 Journal of Surgical Sciences (2017) Vol. 21 (1) :45-46