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[Intestinal duplication--an important differential diagnosis to intussusception]

Søren Brøns Deigaard1, Rete Trap

  • 1Glostrup Hospital, Kirurgisk Gastroenterologisk Afdeling D. sdeigaard@kabelnettet.dk

Ugeskrift for Laeger
|September 3, 2008
PubMed

Insights

Intestinal duplication cysts can mimic intussusception in infants. Persistent symptoms after enema reduction warrant further investigation for alternative diagnoses like these cysts.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology

Background:

  • Intestinal duplication cysts (ID) are rare congenital anomalies.
  • They can present with symptoms mimicking other acute abdominal conditions in infants.

Observation:

  • A 6-month-old infant presented with symptoms initially diagnosed as intussusception.
  • Clinical improvement was not achieved despite successful enema reduction.

Findings:

  • Surgical exploration revealed an intestinal duplication cyst.
  • The cyst caused ileal compression and strangulation.

Implications:

  • Consider intestinal duplication cysts in pediatric patients with acute abdomen, especially when intussusception treatment fails.
  • This case highlights the importance of considering differential diagnoses beyond intussusception.

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