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Noncommunicating multiple intra-abdominal enteric duplication cysts
Parkash Mandhan1, Toufique M Ehsan, Sareyah Al-Sibai
1Department of Surgery, Division of Paediatric Surgery, Sultan Qaboos University Hospital, Muscat, Oman.
African Journal of Paediatric Surgery : AJPS
|July 23, 2014
Summary
A rare case of multiple enteric duplication cysts (EDCs) in a neonate was successfully treated. Surgical resection of jejunal and retroperitoneal cysts corrected obstruction and malrotation.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Surgery
- Congenital Abnormalities
Background:
- Enteric duplication cysts (EDCs) are rare congenital malformations.
- Multiple and noncommunicating EDCs are exceptionally uncommon.
- Intra-abdominal and retroperitoneal locations present unique surgical challenges.
Observation:
- A 2-day-old neonate presented with symptoms of intestinal obstruction.
- Imaging revealed two large, noncommunicating enteric duplication cysts.
- One cyst was located in the jejunal mesentery, causing luminal obstruction.
- The second cyst was in the retroperitoneal space, displacing adjacent structures.
Findings:
- The neonate underwent successful surgical resection of both EDCs.
- Correction of associated malrotation was performed concurrently.
- Histopathological examination confirmed the diagnosis of enteric duplication cysts.
Implications:
- This case highlights the successful management of a rare presentation of multiple EDCs.
- Early diagnosis and surgical intervention are crucial for favorable outcomes in neonates.
- The surgical approach may require tailored strategies for complex EDC presentations.
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