Sigmoid Colon Duplication Cysts

Enteric duplication cysts are uncommon congenital anomalies that can occur anywhere along the length of the alimentary tract or nearby organs. Overall, the colon is the least common site of congenital alimentary duplications. Colonic duplication cysts can present with symptoms of diverticulitis and can be confused with acquired giant sigmoid diverticula. We present a case of a sigmoid colon duplication cyst presenting as persistent diverticulitis in an adult male. We review the literature and attempt to differentiate congenital colonic duplication cysts from the more common, acquired giant colonic diverticula.

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Neonatal diagnosis of an isolated sigmoid colon duplication cyst

Pediatric Radiology ◽

10.1007/s00247-003-0915-8 ◽

2003 ◽

Vol 33 (6) ◽

pp. 436-438 ◽

Cited By ~ 2

Author(s):

Adam D. Talenfeld ◽

Rebecca L. Hulett

Keyword(s):

Sigmoid Colon ◽

Duplication Cyst ◽

Neonatal Diagnosis ◽

Colon Duplication

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Spontaneous Resolution of Small Bowel Obstruction in a Child following Rupture of a Small Bowel Duplication Cyst

Ultrasound ◽

10.1258/ult.2011.011025 ◽

2011 ◽

Vol 19 (4) ◽

pp. 221-223

Author(s):

K Patel ◽

J Jacob ◽

J Flavill ◽

M Sellars

Keyword(s):

Differential Diagnosis ◽

Small Bowel ◽

Small Bowel Obstruction ◽

Bowel Obstruction ◽

Congenital Anomalies ◽

Congenital Malformations ◽

Paediatric Population ◽

Duplication Cyst ◽

Spontaneous Resolution ◽

Enteric Duplication

Duplication cysts are rare congenital malformations that can present with a variety of symptoms that may change during the course of an acute admission. We report a case in which a four-year-old boy presented with signs of small bowel obstruction that following imaging were found to be secondary to bowel compression by a large duplication cyst. The symptoms changed when the cyst ruptured. We highlight the importance of ultrasound in establishing the diagnosis of enteric duplication cysts in the symptomatic paediatric population. We also explore the differential diagnosis and complications that can be caused by these congenital anomalies.

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

Case Reports in Surgery ◽

10.1155/2013/108126 ◽

2013 ◽

Vol 2013 ◽

pp. 1-4 ◽

Cited By ~ 4

Author(s):

Neofytou Kyriakos ◽

Chysochos Andreas ◽

Sammouti Elena ◽

Andreou Charalampos ◽

Georgiou Chrisanthos

Keyword(s):

Abdominal Pain ◽

Percutaneous Drainage ◽

Congenital Malformations ◽

Alimentary Tract ◽

Abdominal Mass ◽

Surgical Excision ◽

Duplication Cyst ◽

Enteric Duplication Cyst ◽

Enteric Duplication ◽

Palpable Abdominal Mass

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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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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Colonic Duplication Cyst in an Adult Woman: A Case Report

Journal of Nepal Medical Association ◽

10.31729/jnma.5114 ◽

2020 ◽

Vol 58 (231) ◽

Author(s):

Sundar Shrestha ◽

Subodh Kumar Adhikari

Keyword(s):

Duplication Cyst ◽

Age Group ◽

Pediatric Age ◽

Common Site ◽

Rare Congenital Anomaly ◽

Colonic Duplication ◽

Left Hemicolectomy ◽

Pediatric Age Group ◽

Descending Colon ◽

Left Abdomen

Intestinal duplications are rare congenital anomaly found in pediatric age group. Although, ileum is the most common site, there are cases of colonic duplications even in the adult. We report a case of 43 years woman presented with chronic constipation, intermittent colicky abdomen pain and a cystic lump in left abdomen diagnosed as tubular duplication cyst of descending colon. Colonoscopy is a good investigation tool for diagnosis of colonic duplications; however, it may not be true in all cases. She was managed with left hemicolectomy and excision of cyst with uneventful post-operative days. This case has been reported because of rarity of this condition.

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Laparoscopic excision of a retroperitoneal completely isolated enteric duplication cyst in an adult male: A case report and review of literature

International Journal of Surgery Case Reports ◽

10.1016/j.ijscr.2018.03.035 ◽

2018 ◽

Vol 46 ◽

pp. 1-5 ◽

Cited By ~ 2

Author(s):

Naoya Sasaki ◽

Miru Okamura ◽

Satoshi Kanto ◽

Kentaro Tatsumi ◽

Seiichi Yasuda ◽

...

Keyword(s):

Case Report ◽

Adult Male ◽

Duplication Cyst ◽

Review Of Literature ◽

Enteric Duplication Cyst ◽

Laparoscopic Excision ◽

Enteric Duplication

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Angiosarcoma of sigmoid colon with intraperitoneal bleeding: case report and literature review

Annals of The Royal College of Surgeons of England ◽

10.1308/147870811x591017 ◽

2011 ◽

Vol 93 (6) ◽

pp. e91-e93 ◽

Cited By ~ 4

Author(s):

Tse-Hua Lo ◽

Mu-Shiun Tsai ◽

Tzu-An Chen

Keyword(s):

Sigmoid Colon ◽

Alimentary Tract ◽

Surgical Excision ◽

Sigmoid Colectomy ◽

Epithelioid Cells ◽

Spindle Cells ◽

Choice Of Treatment ◽

Intraperitoneal Bleeding ◽

Immunohistochemical Studies

Primary angiosarcomas arising from the alimentary tract are rare and only a few cases have been reported in the literature. We report a case of an angiosarcoma of the sigmoid colon with intraperitoneal bleeding but not rectal bleeding. A 21-year-old female patient received a laparotomy and a mass lesion over the sigmoid colon was found with active bleeding. A sigmoid colectomy was performed as a curative resection. Grossly, the sigmoid colon contained a kidney shaped, hemorrhagic tumour from the submucosal layer extension to the antimesenteric side. Intraluminally, the mucosa of the colon was intact. Microscopic examination revealed a high grade angiosarcoma composed of fascicles of spindle cells and solid sheets of epithelioid cells. Immunohistochemical stains revealed a positive result for CD31 and the endothelial nature of the malignancy was confirmed. Smooth muscle antigens, desmins, cytokeratins AE1/AE3 and CD117 were all negative. The patient is still alive without evidence of recurrence or metastasis at a three-year follow-up appointment. Owing to the availability of immunohistochemical studies, some atypical sarcomas would now be correctly classified as angiosarcomas. Since no optimal adjuvant treatment is effective, curative surgical excision is still the best choice of treatment.

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