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Mesenteric Meckel's diverticulum or intestinal duplication cyst: A case report with review of literature

Astrit R Hamza1, Besnik X Bicaj1, Fisnik I Kurshumliu2

  • 1Department of Abdominal Surgery, Clinic of Surgery, University Clinical Centre of Kosova (UCCK), 10000, Prishtina, Kosovo; Faculty of Medicine, University of Prishtina, 10000, Prishtina, Kosovo.

International Journal of Surgery Case Reports
|July 25, 2016
PubMed
Abstract

Insights

This case report details an ambiguous diagnosis between Meckel's diverticulum (MD) and intestinal duplication cyst (IDC) in an 18-year-old male. Surgical resection was performed, highlighting the importance of differentiating these congenital gastrointestinal anomalies.

Area of Science:

  • Gastroenterology
  • Surgical Pathology
  • Congenital Anomalies

Background:

  • Meckel's diverticulum (MD) is the most common congenital gastrointestinal anomaly, arising from the ileum.
  • Intestinal duplication cysts (IDCs) are uncommon congenital anomalies that can occur anywhere in the gastrointestinal tract.
  • Differentiating MD and IDC can be challenging due to similar clinical presentations and potential complications.

Purpose of the Study:

  • To report a case with an ambiguous diagnosis between Meckel's diverticulum and intestinal duplication cyst.
  • To emphasize the diagnostic challenges and management of such congenital gastrointestinal anomalies.
  • To highlight the importance of histological examination in differentiating these conditions.

Main Methods:

  • Case presentation of an 18-year-old male with chronic abdominal pain, vomiting, and distension.
  • Surgical laparotomy performed with a preoperative diagnosis of a mesenteric cyst.
  • Histological examination of the resected cystic mass revealing gastric tissue.

Main Results:

  • Intraoperative findings revealed a cystic mass on the mesenteric aspect of the small bowel without intestinal communication.
  • Histological examination showed gastric tissue, suggesting a possible Meckel's diverticulum.
  • The exact diagnosis remained ambiguous between Meckel's diverticulum and intestinal duplication cyst due to overlapping features.

Conclusions:

  • Accurate differentiation between Meckel's diverticulum and intestinal duplication cyst is crucial, despite similar clinical signs and management.
  • Surgical treatment is the gold standard for both Meckel's diverticulum and intestinal duplication cyst.
  • This case underscores the need for careful evaluation and histological analysis in diagnosing congenital gastrointestinal anomalies.
Keywords:
Case reportGastric mucosaIntestinal duplication cystMeckel’s diverticulum

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