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Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
Completely isolated enteric duplication cyst associated with a classic enterogenous duplication cyst
Nitin Pant1, Jitendra K Grover, Neha K Madan
1Department of Pediatric Surgery, Lady Hardinge Medical College and Kalawati Saran Children's Hospital, New Delhi, India.
Journal of Indian Association of Pediatric Surgeons
|April 25, 2012
Summary
A rare completely isolated duplication cyst (CIDC) of the ileum in an infant presented as an acute abdomen due to pedicle torsion. Surgical excision of the ileal CIDC and adjacent enteric duplication cyst was curative.
Area of Science:
- Pediatric surgery
- Gastrointestinal pathology
- Congenital anomalies
Background:
- Enteric duplication cysts are rare congenital anomalies, typically presenting with complications like obstruction or intussusception.
- Completely isolated duplication cysts (CIDC) of the ileum are exceptionally uncommon, posing diagnostic challenges.
Observation:
- An 18-month-old boy presented with acute abdomen symptoms.
- Imaging revealed a CIDC of the ileum adjacent to a classic enteric duplication cyst.
- The acute presentation was attributed to torsion of the CIDC's pedicle.
Findings:
- Surgical exploration confirmed a CIDC of the ileum and an adjacent enteric duplication cyst.
- The CIDC's pedicle was identified as the site of torsion.
- Complete excision of both cysts was performed.
Implications:
- This case highlights the potential for CIDC of the ileum to present with acute complications like torsion.
- Early surgical intervention is crucial for managing symptomatic enteric duplication cysts, including rare isolated forms.
- Successful management underscores the importance of prompt diagnosis and surgical excision for favorable outcomes in pediatric surgical emergencies.
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