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Cecum duplication in a 14-year-old female. Case report

Alfonso Galván-Montaño1, Sonia Guzmán-Martínez, Cuauhtémoc Lorenzana-Sandoval

  • 1Servicio de Cirugía Pediátrica, Hospital General "Dr. Manuel Gea González," Secretaría de Salud, México, DF, Mexico. gamagq3@hotmail.com

Cirugia Y Cirujanos
|December 16, 2011
PubMed

Insights

A rare cecal duplication, a type of alimentary tract malformation, was diagnosed in a 14-year-old female presenting with abdominal pain. Surgical resection and reconstruction successfully treated this extremely uncommon condition.

Area of Science:

  • Gastroenterology
  • Pediatric Surgery
  • Medical Imaging

Background:

  • Alimentary tract duplications are rare congenital malformations, occurring in approximately 1 in 5,000 live births.
  • These duplications can be spherical or tubular and may communicate with the gastrointestinal tract.
  • Duplications specifically involving the cecum are exceptionally uncommon.

Observation:

  • A 14-year-old female presented with acute abdominal pain, vomiting, constipation, and distension.
  • Initial radiography suggested sigmoid volvulus, but laparotomy revealed a large spherical duplication originating from the cecum.
  • The patient underwent hemicolectomy with end-to-end anastomosis to restore alimentary continuity.

Findings:

  • Pathological examination confirmed a spherical, communicated cecal duplication measuring 22 x 32 cm.
  • Cecal duplication represents only 0.4% of all alimentary tract duplications.
  • Diagnosis at 14 years old is rare, as most cases (85%) are identified before age 2.

Implications:

  • Difficult diagnosis necessitates considering conditions like volvulus, intussusception, or appendicitis.
  • Ultrasonography and tomography are the preferred imaging modalities for diagnosis.
  • Surgical resection of the duplication with restoration of intestinal continuity is the definitive treatment.
Abstract

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