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Updated: Jun 5, 2026
Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
[Intestinal duplication cyst in children: laparoscopically assisted resection is preferred]
E J T Joanne Verweij1, Jan Hein Allema, Gerda W Zijp
1HagaZiekenhuis, locatie Juliana Kinderziekenhuis, afd. Kinderchirurgie, Den Haag, the Netherlands.
Insights
Intestinal duplication cysts, though rare, can cause severe abdominal pain in children. Laparoscopic surgery offers an effective treatment for these congenital anomalies.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Congenital Anomalies
Background:
- Intestinal duplication cysts are rare congenital anomalies.
- They can present with varied gastrointestinal symptoms in children.
- Early diagnosis and intervention are crucial for favorable outcomes.
Observation:
- Two pediatric cases presented with severe abdominal pain and distension.
- Ultrasonography revealed suspected duplication cysts of the terminal ileum.
- One case involved intussusception secondary to a duplication cyst.
Findings:
- Histological examination confirmed the diagnosis of intestinal duplication cysts.
- Laparoscopically assisted resection was successfully performed in both cases.
- Surgical intervention resolved the presenting symptoms.
Implications:
- Laparoscopic surgery is an effective and minimally invasive approach for treating pediatric intestinal duplication cysts.
- Increased awareness of these rare conditions is important for timely diagnosis.
- This approach offers an elegant solution for managing duplication cysts in children.
Abstract:
A 5-year-old boy was seen for a second opinion as he had episodes of severe abdominal pain and a variably distended abdomen. Ultrasonography showed a suspected duplication cyst of the terminal ileum. A laparoscopically assisted resection was performed. Histology confirmed the diagnosis of a duplication cyst. A few months later a 10-year-old boy presented with a history of abdominal pain, diarrhoea and vomiting. Abdominal ultrasonography showed an intussusception halfway up the transverse colon where a cyst was seen with a fluid level. The intussusception was reduced during laparoscopy and resection of the duplication cyst of the ileum was performed. Although intestinal duplication cysts are rare (prevalence 1:4500), it is important to know they exist. Laparoscopically assisted resection is an elegant way of treating duplication cysts in children.