Infected Completely Isolated Enteric Duplication Cyst Management with Percutaneous Drainage and Surgical Excision after Retreat of Infection: A Case Report

Duplication cysts (DCs) of alimentary tract are rare congenital malformations. They are firmly attached to the wall of the gastrointestinal tract and they are supplied by surrounding mesenteric blood vessels. More than 80% of cases occur before the age of two years and only a minority of cases present in adulthood. “Completely isolated duplication” of the alimentary tract is an extremely rare variety of gastrointestinal duplications. They have gastrointestinal epithelial and wall characteristics without an anatomic association with the alimentary tract. Their main characteristic is that they have their own blood supply. A 20-year-old male was admitted to our department with symptoms persisting for a period of one week prior to admission, which included abdominal pain, fever, and a palpable abdominal mass. CT revealed an unexplained intraperitoneal abscess. This case represents a rare clinical example of infected isolated duplication cyst managed with percutaneous drainage and surgical excision of the cyst 3 weeks later. To the best of our knowledge, this is the first reported case to use this approach.

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Postprandial abdominal pain owing to isolated enteric duplication cyst in the superior mesenteric artery root: sonographic and magnetic resonance imaging features

Journal of Pediatric Surgery ◽

10.1016/j.jpedsurg.2010.12.014 ◽

2011 ◽

Vol 46 (4) ◽

pp. 772-775 ◽

Cited By ~ 2

Author(s):

Sheung-Fat Ko ◽

Shu-Hang Ng ◽

Fu-Chen Huang ◽

Ming-Tse Sung ◽

Chie-Song Hsieh

Keyword(s):

Magnetic Resonance Imaging ◽

Abdominal Pain ◽

Magnetic Resonance ◽

Superior Mesenteric Artery ◽

Mesenteric Artery ◽

Duplication Cyst ◽

Imaging Features ◽

Resonance Imaging ◽

Enteric Duplication Cyst ◽

Enteric Duplication

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A Wandering Abdominal Mass in a Neonate: An Enteric Duplication Cyst Mimicking an Ovarian Cyst

Case Reports in Pediatrics ◽

10.1155/2017/9209126 ◽

2017 ◽

Vol 2017 ◽

pp. 1-4 ◽

Cited By ~ 1

Author(s):

Shigeo Iijima

Keyword(s):

Ovarian Cyst ◽

Abdominal Mass ◽

Duplication Cyst ◽

Resonance Imaging ◽

Urgent Surgery ◽

Enteric Duplication Cyst ◽

Antenatal Ultrasonography ◽

Enteric Duplication ◽

Magnetic Resonance Imaging Mri ◽

The Right

Enteric duplication cysts are rare congenital anomalies that are prenatally diagnosed through antenatal ultrasonography (US). In female patients, however, attention must be paid since these formations might be confused with ovarian cysts. Herein, we present a case of a low birth weight female infant with an enteric duplication cyst. A cystic lesion was detected in the right abdomen of the fetus on antenatal US and magnetic resonance imaging (MRI). Serial US and MRI examinations performed after birth showed a single cyst that wandered from side to side in the abdomen; the initial diagnosis was thought to be an ovarian cyst. During laparotomy, however, it was found to be an enteric duplication cyst with volvulus. To our knowledge, there has been no report of an enteric duplication cyst presenting as a wandering abdominal mass. Our experience indicates that early intervention is necessary for patients who have a wandering abdominal mass to avoid complications and urgent surgery, whether it is an ovarian cyst or an enteric duplication cyst.

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Aberrant Pancreatic Tissue in a Mediastinal Enteric Duplication Cyst: A Rarity with Review of Literature

Case Reports in Gastrointestinal Medicine ◽

10.1155/2017/7294896 ◽

2017 ◽

Vol 2017 ◽

pp. 1-4 ◽

Cited By ~ 1

Author(s):

Meha Mansi ◽

Nidhi Mahajan ◽

Sonam Mahana ◽

C. R. Gupta ◽

Anup Mohta

Keyword(s):

Respiratory Distress ◽

Surgical Excision ◽

Mass Effect ◽

Posterior Mediastinum ◽

Duplication Cyst ◽

Pancreatic Tissue ◽

Histopathological Analysis ◽

Early Presentation ◽

Enteric Duplication Cyst ◽

Enteric Duplication

Mediastinal enteric duplication cysts are a rare congenital malformation encountered mainly in neonates and infants. It is a distinct entity within the family of foregut duplication cysts. It can present with respiratory distress due to mass effect and hence surgical excision is the preferred treatment. Histologically, it is characterised by a double layered smooth muscle wall with intestinal lining epithelium. We report a case of mediastinal enteric duplication cyst with aberrant pancreatic tissue in a neonate due to its rarity and early presentation. A neonate presented with respiratory distress and a cystic mass in the right posterior mediastinum. The lesion was excised and on histopathological analysis the diagnosis of mediastinal enteric duplication cyst was made. Also, aberrant pancreatic tissue which has been reported rarely was noted in this case. We discuss this case and review similar cases reported in literature.

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An enteric duplication cyst of the pancreas causing abdominal pain and pancreatitis in a child

Pediatric Surgery International ◽

10.1007/s003830100673 ◽

2002 ◽

Vol 18 (2-3) ◽

pp. 190-192 ◽

Cited By ~ 14

Author(s):

S. Andronikou ◽

C. Sinclair-Smith ◽

A. J. W. Millar

Keyword(s):

Abdominal Pain ◽

Duplication Cyst ◽

Enteric Duplication Cyst ◽

Enteric Duplication

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Asymptomatic Enteric Duplication Cyst in a Geriatric Cat: Case Report and Review of the Literature

Journal of the American Animal Hospital Association ◽

10.5326/jaaha-ms-7057 ◽

2021 ◽

Author(s):

William Bertram Phipps ◽

Andrew Frederick Rich ◽

Matteo Rossanese

Keyword(s):

Current Knowledge ◽

Abdominal Mass ◽

Clinical Signs ◽

Intestinal Resection ◽

Duplication Cyst ◽

Intestinal Lumen ◽

Review Of The Literature ◽

Common Location ◽

Enteric Duplication Cyst ◽

Enteric Duplication

ABSTRACT An 11 yr old female neutered domestic shorthair presented for an 8 mo history of an asymptomatic abdominal mass. Computed tomography described an irregular, cystic structure closely associated with the duodenum, and focal ultrasonography confirmed the mass shared outer layers with the intestinal wall. Coeliotomy revealed the mass was originating from, and firmly adhered to, the antimesenteric border of the duodenum but was not communicating with the intestinal lumen. En bloc mass resection with omentalization was performed without small intestinal resection. Histopathology confirmed an enteric duplication cyst. The cat made a full recovery and remained asymptomatic postoperatively with no evidence of recurrence. A review of the literature confirms the duodenum to be the most common location of enteric duplication cysts in felines and that subtotal excision is curative in most cases. This differential should be considered in cases of cystic gastrointestinal structures in juvenile and adult felines, with or without associated clinical signs. In cases of luminal involvement or malignant transformation, intestinal resection and anastomosis is more appropriate. This report describes the presentation, investigations, and treatment of an asymptomatic duodenal duplication cyst in an adult feline and summarizes and compares current knowledge of the condition between veterinary and human literature.

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Unusual Noncommunicating Isolated Enteric Duplication Cyst in Adults

Gastroenterology Research and Practice ◽

10.1155/2011/323919 ◽

2011 ◽

Vol 2011 ◽

pp. 1-3 ◽

Cited By ~ 15

Author(s):

Metehan Gümüş ◽

Murat Kapan ◽

Hatice Gümüş ◽

Akin Önder ◽

Sadullah Girgin

Keyword(s):

Gastrointestinal Tract ◽

Blood Supply ◽

Alimentary Tract ◽

Lower Abdominal Pain ◽

Duplication Cyst ◽

Adjacent Segment ◽

Palpable Mass ◽

Enteric Duplication Cyst ◽

Enteric Duplication ◽

Ileal Duplication

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.

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