Ileal duplication cyst with giant polypoidal gastric heterotropia:

2021 ◽  
Vol 14 (9) ◽  
pp. e245333
Author(s):  
Amrin Israrahmed ◽  
Vikrant Verma ◽  
Sarfraz Ahmad ◽  
Rajanikant R Yadav

Enteric duplication cysts (EDCs) are congenital malformations of the gastrointestinal tract. EDCs can present as tubular or spherical cystic lesions of the abdomen. The tubular variant of EDC arises as an outpouching from the bowel wall, whereas the spherical variant rarely shows bowel communication. EDCs are known to harbour heterotopic pancreatic parenchyma or gastric mucosa. We present a case of EDC of the ileum (tubular type) with heterotopic gastric mucosa in a 7-year-old child who came with malena and abdominal discomfort. CT revealed focal abnormal dilatation of the ileal loop with polypoidal mucosal thickening. Differential diagnosis of lymphoma, bowel polyps and Meckel’s diverticula with gastric heterotopia (GH) were considered. Subsequent surgery followed by histopathology revealed it to be EDC with GH. We discuss this case to familiarise radiologists with the atypical imaging features of EDC, to prevent misdiagnosis and initiate prompt treatment in appropriate clinical settings.

2013 ◽  
Vol 28 (2) ◽  
pp. 96 ◽  
Author(s):  
Anish Bhattacharya ◽  
Ram Samujh ◽  
Katragadda LakshmiNarasimha Rao ◽  
BhagwantRai Mittal

2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
Metehan Gümüş ◽  
Murat Kapan ◽  
Hatice Gümüş ◽  
Akin Önder ◽  
Sadullah Girgin

Duplication cysts are rare gastrointestinal congenital abnormalities and can occur anywhere within the gastrointestinal tract. Duplication cysts are firmly attached to or share the wall of the alimentary tract and have a common blood supply with the adjacent segment of the bowel. Completely isolated duplication cysts are an extremely rare variety of gastrointestinal duplications with their own exclusive blood supply, and they do not communicate with the intestine. These cysts are usually diagnosed during early childhood, and very rarely detected in adults, mostly incidentally, due to a lack of symptoms. A 28-year-old male was admitted to our hospital with a chief complaint of lower abdominal pain and distention and a palpable mass for 1 month. Based upon computed tomography and sonographic findings, a small bowel duplication cyst was tentatively diagnosed. The cyst had no connection to the gastrointestinal tract. Herein we report the case of a noncommunicating isolated ileal duplication cyst in an adult. Resection of the cyst was performed safely without requiring bowel resection.


Author(s):  
Tara Prasad Tripathy ◽  
Ranjan Patel ◽  
Subrat Kumar Mohanty ◽  
Sukanya Priyadarshini Mohanty

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.


2019 ◽  
Vol 5 (1) ◽  
pp. 34
Author(s):  
Ongoly Okiemy ◽  
Helene Meunier ◽  
Allan M. Goldstein

Duodenal duplication cysts (DDC) are a rare type of enteric duplication. We describe the clinical presentation and laparoscopic management of a 7-year-old boy with a periampullary DDC.We also discuss the embryologic and imaging features that distinguish DDC from choledococele (CC). Careful consideration of the anatomic relationships between the ampulla, common bile duct, and duplication cyst are essential to avoid intraoperative bile duct injury.


2012 ◽  
Vol 1 (4) ◽  
pp. 56 ◽  
Author(s):  
Sundeep Kisku ◽  
Sudipta Sen ◽  
Reju Joseph Thomas ◽  
Arindam Dastidar ◽  
Niranjan Thomas

Metabolic acidosis is often encountered in a sick neonate and intestinal duplication with heterotopic gastric mucosa is a well-established condition.  We present a previously unreported relationship between neonatal metabolic acidosis, resulting from transperitoneal absorption of hydrochloric acid, and a ruptured non- communicating ileal duplication cyst with gastric mucosal heterotopia. The neonate recovered rapidly after resection of the ileal duplication. We present this case to highlight a rare but surgically correctable cause of neonatal metabolic acidosis.


2013 ◽  
Vol 18 (5) ◽  
pp. 1054-1058 ◽  
Author(s):  
Alexander S. Chiu ◽  
David Bluhm ◽  
Shu-Yan Xiao ◽  
Irving Waxman ◽  
Jeffrey B. Matthews

2019 ◽  
Vol 54 ◽  
pp. 83-86
Author(s):  
Shinsuke Nakashima ◽  
Terumasa Yamada ◽  
Go Sato ◽  
Takaaki Sakai ◽  
Yoshinao Chinen ◽  
...  

1983 ◽  
Vol 76 (5) ◽  
pp. 670-671 ◽  
Author(s):  
PATRICIA YOUNGBLOOD ◽  
BERNARD I. BLUMENTHAL

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