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Updated: Jun 19, 2026
04:14
Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
Perforated ileal duplication cyst: a diagnostic dilemma
Prem Kumar Rathi1, Abdul Sattar Memon, Mohan Khatri
1Department of Surgery, Liaquat University of Medical and Health Sciences, Jamshoro, Sindh, Pakistan. pkrathi@hotmail.co.uk
Summary
Congenital ileal duplication cysts are rare. This case highlights a perforated ileal duplication cyst presenting as acute appendicitis in a 14-year-old boy, successfully treated with surgical resection and ileostomy reversal.
Area of Science:
- Gastroenterology
- Pediatric Surgery
- Congenital Anomalies
Background:
- Alimentary tract duplications are rare congenital anomalies, often presenting with vague symptoms.
- Early diagnosis and surgical intervention are crucial for managing complications.
Observation:
- A 14-year-old boy presented with acute abdomen, mimicking acute appendicitis.
- Laparotomy revealed a perforated ileal duplication cyst.
Findings:
- Surgical resection of the ileum and cyst with anastomosis was performed.
- A proximal ileostomy was created and later reversed successfully.
- Histopathology confirmed gastric mucosa within the ileal duplication cyst.
Implications:
- This case underscores the importance of considering rare congenital anomalies in the differential diagnosis of acute abdomen in children.
- Gastric heterotopia in ileal duplication cysts can lead to complications like perforation.
- Successful surgical management highlights the efficacy of timely intervention.
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