Unusual noncommunicating isolated enteric duplication cyst in adults

Area of Science:

• Gastroenterology
• Surgical Pathology
• Pediatric Surgery

Background:

• Duplication cysts are rare congenital gastrointestinal abnormalities, typically attached to the alimentary tract with a shared blood supply.
• Completely isolated duplication cysts, lacking intestinal communication and possessing independent blood supply, are exceptionally rare.
• While usually diagnosed in childhood, they are infrequently detected in adults, often incidentally due to asymptomatic presentation.

Observation:

• A 28-year-old male presented with a month of lower abdominal pain, distention, and a palpable mass.
• Computed tomography and sonography suggested a small bowel duplication cyst.
• The cyst was non-communicating, with no apparent connection to the gastrointestinal tract.

Findings:

• The case involved a noncommunicating, isolated ileal duplication cyst in an adult patient.
• Surgical resection of the cyst was safely achieved.
• No extensive bowel resection was necessary for the cyst removal.

Implications:

• This case expands the understanding of rare gastrointestinal duplications in adults.
• Highlights the importance of considering rare congenital anomalies in adult abdominal pathologies.
• Demonstrates the feasibility of conservative surgical management for isolated duplication cysts.