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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
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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.

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  • 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.