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Cecal duplications: a rare cause for secondary intussusception
R Rizalar1, S Somuncu, S Sözübir
1Ondokuz Mayis University Children's Hospital, Department of Pediatric Surgery, Kurupellit/Samsun, Turkey.
Insights
Duplications of the alimentary tract, particularly in the colon, are rare congenital anomalies. This study highlights two rare cases of cecal duplications causing ileocolic intussusception in infants, emphasizing their role as a lead point.
Area of Science:
- Pediatric Surgery
- Congenital Anomalies
- Gastrointestinal Disorders
Background:
- Alimentary tract duplications are rare congenital malformations with variable locations.
- While esophageal and ileal duplications are more common, colonic duplications, including cecal duplications, are exceptionally rare.
- Intussusception is a common surgical emergency in infancy, often idiopathic.
Observation:
- Two infants presented with acute abdomen, diagnosed with ileocolic intussusception.
- Intraoperative findings revealed cecal cystic duplications acting as the lead point for intussusception.
- This presentation is unusual as intussusception in children typically lacks a lead point.
Findings:
- Cecal duplication cysts can serve as a lead point for intussusception in infants.
- The rarity of duplication cysts causing intussusception is confirmed by literature review.
- Ileocolic intussusception secondary to cecal duplication is a rare but significant surgical finding.
Implications:
- Early recognition of duplication cysts is crucial for diagnosing intussusception in infants.
- Surgical management should consider duplication cysts as a potential lead point in pediatric intussusception.
- This case series contributes to understanding rare causes of intussusception and highlights the importance of thorough intraoperative evaluation.
Abstract:
Duplications of the alimentary tract are rare congenital anomalies that may occur at any level from mouth to anus. While the oesophagus and the ileum are the most common sites, duplications of the colon are rare. Two cases of ileocolic intussusceptions in 8-month-old girl and 6-month-old boy who were admitted to our hospital with acute abdomen findings are presented. Intraoperatively, cecal cystic duplications leading intussusception were revealed. Intussusception is one of the most important surgical emergence in infancy and typically, it does not involve a lead point in childhood. Although duplication cyst may act as lead point, the review of literature reveals its rarity.