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Appendicitis01:19

Appendicitis

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Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...
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Diverticular Disease of the Colon01:27

Diverticular Disease of the Colon

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Diverticular disease involves the formation of diverticula—small sac-like outpouchings of the colonic wall—and their complications. It most commonly affects the sigmoid colon due to higher intraluminal pressure and structural vulnerability. It results from structural weakness and increased pressure in the colon, producing pseudodiverticula that may remain silent or progress to inflammation and serious complications.Structure of DiverticulaIn diverticulosis, these outpouchings are...
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Intestinal Obstruction II: Pathophysiology01:07

Intestinal Obstruction II: Pathophysiology

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Intestinal obstruction triggers a series of physiological responses, starting with gas and fluid accumulation in the bowel segment proximal to the obstruction, leading to distension. This distended intestine compresses the diaphragm, hindering lung expansion and potentially leading to reduced respiratory effort, atelectasis, and pneumonia.To overcome the blockage, the gut intensifies contractions, causing colicky abdominal pain, nausea, and vomiting, which reduces fluid and food intake and...
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Abdominal Regions and Quadrants01:19

Abdominal Regions and Quadrants

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To promote clear communication, for instance, about the location of a patient's abdominal pain or a suspicious mass, anatomists and clinicians typically use imaginary lines to categorize the abdominopelvic cavity into either four quadrants or nine regions to identify organs in the cavity.
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four...
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Imaging Studies VI: Voiding Cystourethrography and Cystography01:22

Imaging Studies VI: Voiding Cystourethrography and Cystography

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Voiding Cystourethrography (VCUG) and Cystography are specialized radiographic procedures used to examine the structure and function of the bladder and urethra.Voiding Cystourethrography (VCUG)A Voiding Cystourethrogram (VCUG) is a diagnostic imaging procedure that assesses the anatomy and function of the lower urinary tract. It focuses on the bladder, bladder neck, and urethra, helping detect abnormalities such as vesicoureteral reflux (VUR)—the backward or reverse flow of urine into the...
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Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

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The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
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Related Experiment Video

Updated: Apr 26, 2026

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
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Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults

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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
PubMed
Summary
This summary is machine-generated.

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.

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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.