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Enteric duplication in children: A case series.

Naeem Liaqat1, Tariq Latif, Feeroz Alam Khan

  • 1Department of Paediatric Surgery, Services Hospital, Lahore, Pakistan.

African Journal of Paediatric Surgery : AJPS
|July 23, 2014
PubMed
Summary

Enteric duplication (ED) cysts are diverse lesions of the gastrointestinal tract (GIT). This study highlights their varied presentations, diagnostic methods, and successful surgical excision, emphasizing the need for high suspicion in diagnosis.

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Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Pathology
  • Congenital Malformations

Background:

  • Enteric duplication (ED) cysts are congenital anomalies involving any segment of the gastrointestinal tract (GIT).
  • These cystic lesions can originate from the foregut, midgut, or hindgut.
  • Understanding their diverse presentations is crucial for timely diagnosis and management.

Purpose of the Study:

  • To document the varied clinical presentations of enteric duplication cysts.
  • To analyze the diagnostic modalities used for ED cysts.
  • To review the treatment options and outcomes for patients with ED cysts.

Main Methods:

  • A retrospective analysis of eight patients diagnosed with enteric duplication cysts.
  • Data collected included patient demographics, presenting complaints, examination findings, diagnostic tools, cyst location and type, associated malformations, surgical approach, and outcomes.
  • The study was conducted at the Services Hospital, Lahore, from August 2011 to August 2013.

Main Results:

  • Eight patients (6 males, 2 females; average age 2.4 years) were included.
  • Ultrasound was the primary diagnostic tool.
  • The ileum was the most common site (62.5%), followed by the stomach and descending colon.
  • Tubular (75%) and cystic (25%) types were observed.
  • Surgical excision was successfully performed in all cases.

Conclusions:

  • Enteric duplication cysts present with a wide range of symptoms, including abdominal mass and intestinal obstruction.
  • A high index of suspicion is necessary for diagnosis.
  • Complete excision of the cyst while preserving the native gut's vascularity is the primary treatment goal.