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Infected congenital splenic cyst associated with duodenal duplication cyst and malrotation--a case report

Chee-chee Koh1, Nien-Lu Wang, Hung-Chang Lee

  • 1Division of Pediatric Surgery, Mackay Memorial Hospital, Taipei 10440, Taiwan.

Journal of Pediatric Surgery
|December 18, 2007
PubMed

Insights

A rare congenital splenic cyst in an 18-month-old boy became infected after Salmonella enterocolitis. This case is unique as congenital splenic cysts are typically found in older patients and rarely associated with other congenital malformations.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Congenital Anomalies

Background:

  • Congenital splenic cysts are rare splenic anomalies.
  • Infection is a potential complication of splenic cysts.
  • Infected splenic cysts typically affect older children and adults.

Observation:

  • An 18-month-old boy presented with Salmonella enterocolitis.
  • Two weeks post-infection, the patient developed an infected splenic cyst.
  • Surgical exploration revealed incidental duodenal duplication cyst and malrotation of the gut.

Findings:

  • This case represents an unusual presentation of an infected congenital splenic cyst in a young child.
  • The co-occurrence of congenital splenic cyst with duodenal duplication and malrotation is unprecedented.
  • Salmonella enterocolitis may predispose to splenic cyst infection.

Implications:

  • Highlights the risk of infection in congenital splenic cysts, even in young children.
  • Suggests a potential association between congenital splenic cysts and other gastrointestinal malformations.
  • Emphasizes the importance of considering splenic pathology in children with severe enterocolitis and abdominal symptoms.

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