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Completely isolated enteric duplication cyst: case report.

S K Kim1, H K Lim, S J Lee

  • 1Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 135-710, Korea.

Abdominal Imaging
|December 17, 2002
PubMed
Summary
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This case study describes a rare, completely isolated enteric duplication cyst found in a 28-year-old man. Computed tomography revealed a complex cystic mass with calcifications, unconnected to any digestive organs.

Area of Science:

  • Gastroenterology
  • Radiology
  • Surgical Pathology

Background:

  • Enteric duplication cysts are rare congenital anomalies, typically found along the gastrointestinal tract.
  • Complete isolation from the native bowel is exceptionally uncommon, posing diagnostic challenges.

Observation:

  • A 28-year-old male presented with a large, complex cystic mass identified via computed tomography (CT).
  • The mass exhibited curvilinear and nodular calcifications and was located anterior to the left kidney.
  • Crucially, the cyst demonstrated no anatomical connection to the pancreas, stomach, small bowel, or large bowel.

Findings:

  • The computed tomography findings were consistent with a completely isolated enteric duplication cyst.
  • This represents a unique presentation, as no similar cases with these specific CT characteristics have been reported in English literature.

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  • Histopathological confirmation would be essential for definitive diagnosis.

    • Implications:

    • This case highlights the importance of considering rare differential diagnoses in abdominal cystic masses.
    • Detailed radiological assessment, including CT, is crucial for characterizing such anomalies.
    • Further investigation and reporting of such isolated cases are needed to expand the understanding of enteric duplication cysts.