Related Experiment Videos
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.
Insights
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.
Abstract:
Duplications of the alimentary tract are rare malformations. A case of a 2-year-old girl with an intestinal intussusception caused by a cystic duplication of the cecum is presented. This case report is justified by its clinical features and the difficult diagnosis, which was only confirmed during surgery. Ultrasonography had documented an abdominal mass that then disappeared and later reappeared, leading to surgical indication. During surgery, the intussusception within the abdomen was reduced, and right hemicolectomy was performed around the mass in the interior part of the cecum and appendix, with ileocolic anastomosis. On resecting the cecum, a cystic duplication measuring 4 x 3 cm was observed, with a granular mucous layer, an ulcerated hole in its interior, and inflammatory reaction. The patient had an uneventful recovery and was discharged on the fourth postoperative day.