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Duplication cyst of the sigmoid colon
Bastian Domajnko1, Rabih M Salloum
1Department of Surgery, University of Rochester Medical Center, 601 Elmwood Avenue, Rochester, NY 14642, USA.
Gastroenterology Research and Practice
|February 20, 2010
Summary
A rare duplication cyst of the sigmoid colon caused abdominal pain in a young male with developmental delay. Surgical excision was successful, confirming the diagnosis and leading to an uneventful recovery.
Area of Science:
- Gastroenterology
- Pediatric Surgery
- Abdominal Imaging
Background:
- Developmental delay can be associated with congenital anomalies.
- Abdominal pain in young patients requires thorough investigation.
- Duplication cysts are rare congenital malformations.
Observation:
- A 21-year-old male with developmental delay presented with acute abdominal pain.
- Imaging revealed a large, air-filled cystic structure near the hepatic flexure.
- The structure did not appear to communicate with the colon.
Findings:
- Surgical exploration identified the lesion as a sigmoid colon duplication cyst.
- The cyst was adhered to the right upper quadrant but not intraluminal.
- Pathology confirmed a sigmoid colon duplication cyst, attached but not communicating with the colon.
Implications:
- This case highlights the importance of considering rare diagnoses in patients with developmental delay and abdominal symptoms.
- Accurate preoperative imaging is crucial for surgical planning of complex abdominal masses.
- Successful surgical management of sigmoid colon duplication cysts can lead to excellent outcomes.
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