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Cecal duplication causing a disappearing abdominal mass in an infant
J L Martins1, E K Cury, A S Petrilli
1Section of Pediatric Surgery, Department of Surgery, Federal University of São Paulo, Paulista School of Medicine, São Paulo, SP, Brazil.
Journal of Pediatric Surgery
|October 5, 2001
Summary
A rare cystic duplication of the cecum caused an intestinal intussusception in a 2-year-old girl. Surgical intervention successfully resolved the condition, highlighting diagnostic challenges in pediatric gastrointestinal malformations.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Malformations
- Congenital Abnormalities
Background:
- Alimentary tract duplications are uncommon congenital anomalies.
- Intestinal intussusception can be a complication of these duplications.
Observation:
- A 2-year-old girl presented with symptoms suggestive of intestinal intussusception.
- Initial ultrasonography revealed a transient abdominal mass, complicating diagnosis.
- The intussusception was ultimately diagnosed and confirmed during surgical exploration.
Findings:
- A cystic duplication of the cecum, measuring 4 x 3 cm, was identified as the cause of intussusception.
- The duplication exhibited a granular mucous layer and an ulcerated interior with inflammation.
- Surgical management involved reduction of intussusception and right hemicolectomy with ileocolic anastomosis.
Implications:
- This case underscores the diagnostic difficulties associated with rare gastrointestinal duplications.
- Prompt surgical intervention is crucial for managing intussusception secondary to cecal duplication.
- Successful surgical outcomes are achievable even with complex presentations.