Ileal Duplication Cyst Research Articles

Adult Ileal Duplication Cyst Acting as Lead Point of Ileo-Caecal Intussusception: A Rare case of Complete Bowel obstruction in Adults

Adult Ileal Duplication Cyst Acting as Lead Point of Ileo-Caecal Intussusception: A Rare case of Complete Bowel obstruction in Adults

Adult ileal duplication cyst acting as lead point of ileo-caecal intussusception a rare case of complete bowel obstruction in adults

Enteric duplication cyst presenting as intussusception in adult and causing complete small bowel obstruction is a rare phenomenon. A 19 year old female presented with complaints of abdominal pain, bilious vomiting, abdomen distension and constipation for 2 days. Patient had similar episodes in the past. Computed tomography of abdomen showed dilated small bowels with “Target Sign” suggestive of Ileo caecal intussusception. Patients was taken for surgery and intraoperatively it was noted to have thick walled cystic swelling in the terminall ileum. Segmental resection done along with cyst and primary anastamosis was done. Histopathological confirmation was done as Duplication cyst.

Infant with ileal duplication cyst and ectopic gastric mucosa

Infant with ileal duplication cyst and ectopic gastric mucosa

MID ILEAL DUPLICATION CYST WITH ECTOPIC GASTRIC MUCOSA DETECTED BY TECHNETIUM-99M PERTECHNETATE

Gastrointestinal duplication cysts are a rare congenital malformation in the gastrointestinal tract, most commonly seen in the ilium. The present study reported a child with a mid ileal duplication cyst ofthe ectopic gastric mucosa that was diagnosed by Technetium-99m pertechnetate single-photon emission computed tomography-computed tomography (SPECT-CT) scintigraphy. Gastrointestinal duplication cysts can present with massive lower gastrointestinal bleeding in early childhood Technetium-99m pertechnetate (Meckel scan) with SPECT-CT can help reach the diagnosis and decrease morbidity and mortality.

GASTROINTESTINAL DUPLICATION CYST: A MASQUERADER

AIM: Gastrointestinal tract (GIT) duplications are rare congenital anomalies found in 0.2% of the children, most detected ante-natally or within rst two years of life. We report three cases with an aim to study the clinical and histopathological ndings. METHODS: RESULTS It is a retrospective analysis of the paediatric patients with gastrointestinal tract duplication over a period of ve years. : Two cases, 11 year and 4 month old males diagnosed as ileal duplication cyst presented with abdominal pain and respiratory distress respectively. Third case of a newborn female on prenatal ultrasonography showed CCAM, was eventually diagnosed as foregut duplication cyst on histopathology. All three cases were managed surgically. GIT duplications, CONCLUSION: although rare can arise anywhere along the GIT. Clinical scenario is diverse and mimics other intra-abdominal conditions thus presenting a great challenge to arrive at a diagnosis preoperatively. Therefore high index of suspicion and histopathology is must for the correct diagnosis and management.

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

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.

Cecal Duplication

Background: Enteric duplication cysts are rare congenital malformations that are most commonly found in the ileum and ileocecal junction, followed by the esophagus, stomach, and duodenum. Although most present in the 1st 2 years, they are often difficult to diagnose as both presentation and radiological findings can be variable and nonspecific. Clinical Description: We present the case report of an 11-month-old child who presented with nonbilious vomiting and diarrhea. There was no fever, abdominal distension, blood in stools, or crying on defecation. A provisional diagnosis of acute gastroenteritis was kept and management started as per the standard protocol. Management: A series of investigations were carried out when the child did not improve and developed bilious vomiting. Ultrasound findings were suggestive of an ileal duplication cyst which was confirmed by magnetic resonance imaging. The child then underwent surgery where cecal duplication cyst was confirmed, which was previously missed due to a malpositioned cecum. Conclusion: Gastrointestinal duplication cysts are rare developmental anomalies that may present as an acute abdomen in a young child. The possibility of the duplication cyst should be kept as a differential diagnosis in a child presenting with unexplained vomiting, abdominal distension, or pain. Early suspicion, investigation, and intervention help in faster recovery with minimal complications.

Ileocolic Intussusception in an Infant with Ileal Duplication Cyst as a Lead Point- A Case Report

Gastrointestinal duplication cysts are uncommon congenital malformations, with small intestine being the most common site, followed by colon and stomach. It can have variable presentations such as intestinal obstruction, bleeding, palpable mass, or rarely volvulus. Here, the authors report a case of intussusception in a two-year-old child, presented with complaints of bilious vomiting and abdominal distension for three days with X-ray features suggestive of bowel obstruction. Ultrasonography revealed intussusception with ileal duplication cyst as the lead point, which was confirmed on exploratory laparotomy. In a paediatric patient, enteric duplication cyst should be included in the differential diagnosis of a cystic lesion as the lead point in intussusception.

Small bowel obstruction caused by primary adenocarcinoma arising from an ileal tubular type foregut duplication cyst

Small bowel obstruction is a surgical emergency commonly caused by adhesions, hernia, intussusception and volvulus. Less often, it can be caused by neoplasms. Small intestine adenocarcinoma is an uncommon malignancy, while its occurrence from foregut duplication cyst is extremely rare. Herein we reported a case of complete small bowel obstruction caused by ileal adenocarcinoma arising from a tubular-type foregut duplication cyst. A 49-year-old man with history of inguinal hernia presented with vomiting, abdominal pain and distention, and constipation for 3 days. Abdominal computed tomography (CT) scan showed high-grade distal small bowel obstruction with a transition point in the terminal ileum near the ileocecal valve. Emergency exploratory laparotomy revealed a 4 × 5 cm circumferential mass at the terminal ileum. Right hemicolectomy was performed. Gross examination demonstrated a 2.5 cm long circumferential ileal stricture. Histologically, the stricture contained moderately to poorly differentiated invasive adenocarcinoma arising from ectopic foregut duplication cysts lined by mixed cuboidal and ciliated respiratory epithelial cells with focal low- and high-grade dysplasia. Peritoneal implants developed four months post surgery despite post-operative chemotherapy. Foregut duplication cyst and its derivative neoplasm should be taken into consideration in encountering adult patients with small bowel obstruction.

Ileal duplication cyst: a rare cause of intestinal obstruction in infants

Ileal duplication cyst (IDC) is a rare congenital anomaly where there is an abnormal portion of intestine attached to or intrinsic with the normal bowel. A 6-month-old male child presented with obstipation and bilious vomiting at emergency. X-ray abdomen showed multiple air fluid level suggestive of intestinal obstruction. Laparotomy was performed. Diagnosis of IDC was made and resection with primary anastomosis was done. Post-operative period was uneventful, and patient did well during 3 month follow-up checkup. IDC is a rare cause of intestinal obstruction which can present with different clinical symptoms posing a diagnostic dilemma. Diagnostic laparotomy is a suitable approach for both diagnosis and treatment to avoid delays in treatment where imaging method is unavailable for exact diagnosis.

Ileal Duplication Cyst Presenting With Acute Abdomen at Adult Age: Report of a Rare Case and a Review of the Literature

Gastrointestinal duplication cysts are rare lesions that typically present with acute abdomen in childhood. They are rare in adults, with only a few adult cases having been reported thus far. Adults with these lesions are usually asymptomatic or manifest with subtle abdominal symptoms. They may, however, also present with obstruction, bleeding, perforation, or malignancy. Herein, we aimed to report a case of ileal duplication cyst at adult age that presenting with symptoms of acute abdomen and reviewed the reported cases of adult age duplication cysts.

Intestinal duplication revealed by posterior reversible encephalopathy syndrome.

We report a unique case of intestinal duplication detected on posterior reversible encephalopathy syndrome (PRES) in a 13-year-old girl. She was admitted to the pediatric Emergency Department because of generalized seizures. Radiological assessment revealed a large, well-defined, thick-walled cystic lesion in the mid abdomen, suggestive of duplication cyst associated to a PRES. Exploration confirmed the diagnosis of ileal duplication cyst, and the mass was resected. The postoperative course was uneventful. Both hypertension and neurological dysfunction resolved after the mass resection. A followup brain magnetic resonance imaging was performed 9 months later and showed complete resolution of the cerebellar changes. Although extrinsic compression of the retroperitoneal structures has not been reported in the literature as a complication of duplication cyst, we strongly believe that this is the most logical and plausible hypothesis that would explain the pathogenesis of PRES in our patient.

Simultaneous laparoscopic repair of intestinal malrotation and ileal duplication

Abstract An 8-year old boy was referred for chronic, frequent bilious vomiting and intermittent abdominal pain. Intestinal malrotation was diagnosed by upper gastrointestinal study (UGI) and laparoscopic Ladd's procedure was performed. Ladd's bands were laparoscopically dissected out, and the mesentery was dissected to be broaden. After performing Ladd's procedure, an ileal duplication cyst was found 30 cm proximal to the terminal ileum, which was extracted through the umbilical port site and was totally resected. Three years postoperatively, the patient has had no further symptoms.

Laparoscopic Excision of an Ileal Duplication with Intracorporeal Enteroenterostomy in an Infant

Abstract Introduction: A 6-month-old male underwent laparoscopy for resection of a bowel duplication. He initially presented with 2 days of emesis and had imaging performed that was consistent with an ileal duplication cyst. We present a technique of ileal duplication cyst excision with intracorporeal primary bowel anastomosis. Methods: A 5-mm port was placed through the umbilicus and a diagnostic laparoscopy was performed. The duplication cyst was seen in the wall of the distal ileum nearly 20 cm from the terminal ileum. Two additional 5 mm ports were placed in the midline and left flank. The intestine was pexed to the abdominal wall on one side of the cyst to provide adequate observation of the specimen. Two small openings were made in the mesentery on either side of the duplication cyst using hook diathermy. A 5 mm endoscopic stapler was used to divide the proximal and distal bowel. After resecting the cyst, stay sutures were placed on the ends of the remaining bowel and were approximated to one anothe...

A case of asymptomatic ileal duplication cyst associated with acute appendicitis

Abstract Duplications of the alimentary tract are infrequent anomalies. They are most frequently located in the terminal ileum, and majority of them became symptomatic before the age of 2. Presenting symptoms may include abdominal mass, intestinal obstruction, intussusception, rectal bleeding, and abdominal pain. Preoperative diagnosis is usually difficult, intra-abdominal duplications are usually diagnosed during surgical explorations of above complications. We presented a 12-year-old girl with asymptomatic ileal duplication cyst associated with non-complicated acute appendicitis, whose imaging studies at admission were compatible with complicated perforated appendicitis.

Cysts of Gastrointestinal Origin in Children: Varied Presentation.

PurposeAbdominal cysts of gastrointestinal origin are rare. Their rarity and varied clinical presentations make their pre-operative diagnosis difficult.MethodsFourteen patients with histological diagnosis of cysts of gastrointestinal origin admitted between 2009 and 2015 were retrospectively analyzed with respect to age, sex, clinical presentation, diagnostic modality, site and type of cyst, management, outcome and follow-up.ResultsThe mean age at presentation was 4 years and there were six males and eight females. Abdominal pain was the most common presenting symptom. Five patients had an acute presentation-three had distal ileal mesenteric cysts and two had ileal duplication cyst sharing a common wall with ileum. Six patients presented with chronic abdominal pain and lump—three patients had omental cysts and three had mesenteric cysts—two of these in distal ileum and one in sigmoid colon. Two patients presented with antenatally diagnosed palpable abdominal lump. One had a mesenteric cyst of the ileum and the other had a distal ileal duplication cyst which required excision with resection and anastomosis. One patient had an atypical presentation. He was a known case of sickle cell trait and had presented with vague abdominal pain, recurrent cough and multiple episodes of haemoptysis over a period of one year. At laparotomy, gastric duplication cyst was found which was excised completely. Histopathology confirmed the diagnosis.ConclusionCysts of gastrointestinal origin are rare and have varied presentation. Surgical excision is the mainstay of treatment. The results and prognosis are good.

腸石を有する回腸重複腸管により反復した腸閉塞の1例

症例は27歳の男性．7年前，2年前，6カ月前に腸閉塞を発症し，保存的に軽快した．繰り返す腸閉塞の原因検索の結果，回盲弁から40cm口側の回腸に連続する嚢状腸管を認め，内部に腸石を有していた．再び腸閉塞を発症し当科外来を受診した．CT検査では，内部に腸石を有する嚢状腸管と連続する回腸から口側の腸管が拡張し，以前と同様の所見であった．胃管留置，高圧酸素療法により腸閉塞を改善させた後，手術を行った．術中所見では，嚢状腸管が他の小腸に圧排され，連続する回腸が捻れて狭窄しており，同部が繰り返す腸閉塞の原因と考えられた．嚢状腸管は腸間膜側から発生し，腸間膜を有していたことから重複腸管と診断した．嚢状腸管および連続する回腸を含め，小腸部分切除術を施行した．術後経過は良好で，術後7日目に退院した．

Neonatal Intestinal Obstruction: When to Suspect Duplication Cyst of Bowel as the Cause.

Background: Duplication cyst is a rare cause of neonatal intestinal obstruction. Their most common location is the small intestine. The clinical presentation is extremely variable depending upon its size, location and type and the age of the patient and are mainly encountered during infancy or early childhood. The diagnosis is very difficult in neonates. This study was undertaken to study their presentation, diagnostic modality of choice and further management in neonatal age group. Materials and Methods: This was a retrospective study performed at the Department of Paediatric Surgery, J .N Medical College Hospital, AMU Aligarh from July 2008 to June 2014. The data was analyzed with respect to demographic profile of the neonates, their initial clinical presentation, radiological features and subsequent event leading to intervention, operative features and outcome. Results: There were a total of seven neonates between ages of 3 days and 21 days who were diagnosed as cases of intestinal obstruction due to duplication cyst. The majority of the patients were having ileal duplication cyst (n=4). Ultrasonography played important role in majority of the cases for diagnosis. There was one patient in which the diagnosis was confused with ileal atresia. All the patients underwent excision with restoration of bowel continuity. Conclusion: The diagnosis of intestinal obstruction in neonate due to duplication cyst is difficult. It has varied presentation and preoperative diagnosis at times may be challenging. Surgery is the mainstay of the treatment.

A Complicated Ileal Duplication Cyst in a Young Adult: The Value of the “Gut Signature”

Intestinal duplication is an uncommon congenital abnormality, with potential life-threatening complications, usually manifesting in childhood. Due to its non-specific clinical presentation as well as its resemblance to other abdominal processes at imaging, the differential diagnosis may be very difficult. This case report describes a young female adult accessed twice to our Emergency Department with recurrent pain in the right iliac fossa and a clinical picture of abdominal pain and bowel obstruction, who was finally diagnosed with complicated duplication cyst, then resected. The diagnostic tools performed show the simple duplication cyst at the beginning, in the ileocecal region, with the characteristic “gut signature” at Ultrasound and its subsequent inflammatory changing at Computed Tomography, which led to the right diagnostic hypothesis, confirmed by histopathology. An early diagnosis of this condition is needed to undertake the correct surgical approach.

Adult small intestinal duplication cyst presenting as a post appendicectomy abdominal mass

Gastrointestinal (GI) duplication cysts are rare congenital malformations. It may involve any level of the alimentary tract, but most commonly involves the ileum, oesophagus, and jejunum. Ileal duplication cysts represent approximately 4–8% of GI duplication cysts, the majority of which present in early childhood. We present a case of adult ileal duplication cyst in a 20-year old male found to have an abdominal mass. There are several potential methods to diagnose GI duplication cyst and treatment of choice is complete surgical resection. The Sri Lanka Journal of Surgery 2015; 33(3): 20-21