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Isolated enteric duplication cysts

Prema Menon1, K L N Rao, Kim Vaiphei

  • 1Department of Pediatric Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Journal of Pediatric Surgery
|August 10, 2004
PubMed

Insights

Two rare cases of isolated duplication cysts in infants were successfully treated. Surgical removal of these congenital anomalies resulted in asymptomatic outcomes for both patients.

Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Surgery
  • Congenital Anomalies

Background:

  • Duplication cysts are rare congenital malformations that can occur anywhere along the gastrointestinal tract.
  • Complete isolation of these cysts, particularly from the intestinal lumen, is exceptionally uncommon.
  • Early diagnosis and surgical intervention are crucial for favorable outcomes.

Observation:

  • A 6-day-old male infant presented with a large, asymptomatic tubular duplication cyst originating from the terminal ileal mesentery.
  • A 10-week-old infant had multiple isolated duplication cysts identified in both the thoracic and abdominal cavities.
  • Both cases involved surgical management including correction of associated malrotation in the first case.

Findings:

  • Surgical excision of the isolated duplication cysts was performed in both pediatric patients.
  • Complete resolution of symptoms and no recurrence were observed post-operatively.
  • The isolated nature of the cysts presented unique surgical considerations.

Implications:

  • This report highlights the successful management of rare isolated duplication cysts in neonates and infants.
  • It underscores the importance of considering duplication cysts in the differential diagnosis of abdominal and thoracic masses in children.
  • Prompt surgical intervention for these congenital anomalies leads to excellent long-term prognoses.

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