Multiple Isolated Enteric Duplication Cysts in an Infant - A Diagnostic Dilemma

Area of Science:

• Pediatric Surgery
• Gastrointestinal Pathology
• Congenital Anomalies

Background:

• Enteric duplication cysts are rare congenital malformations.
• Completely isolated types, lacking bowel communication and possessing independent vascularity, are exceptionally uncommon.
• Their occurrence in non-contiguous locations presents unique diagnostic and surgical challenges.

Observation:

• A case report details an infant with two completely isolated enteric duplication cysts.
• These cysts originated from the greater omentum and the transverse mesocolon.
• One cyst in the transverse mesocolon exhibited infection, presenting imaging complexities like septations and loss of the double wall sign.

Findings:

• This represents the first reported instance of multiple completely isolated enteric duplication cysts in non-contiguous anatomical locations.
• Surgical excision was successfully performed for both omental and mesocolonic cysts.
• Histopathological examination confirmed the diagnosis of enteric duplication cysts.

Implications:

• This case expands the known spectrum of enteric duplication cyst presentations.
• Highlights the diagnostic difficulties associated with infected or complex isolated cysts.
• Underscores the importance of thorough surgical exploration and histopathological confirmation for these rare anomalies.