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[Neonatal intestinal obstruction due to cecal duplication].

G Alonso Ciodaro1, J I Santamaría Ossorio1, S Sanjuán Rodríguez1

  • 1Servicio de Cirugía Pediátrica. Hospital Universitario Materno Infantil de Badajoz.

Cirugia Pediatrica : Organo Oficial De La Sociedad Espanola De Cirugia Pediatrica
|October 25, 2016
PubMed
Summary

Rare cecal duplication cysts in newborns can cause intestinal obstruction. Contrast enema aids diagnosis, and surgical excision is recommended to prevent complications.

Keywords:
Cecal duplicationIntestinal obstructionNeonatalPrenatal cyst

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Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Developmental Biology

Background:

  • Cecal duplications are rare congenital anomalies, accounting for only 0.4% of all gastrointestinal duplications.
  • Few cases of cecal duplication cysts have been documented in medical literature, highlighting their rarity.

Observation:

  • A 48-hour-old neonate presented with symptoms of intestinal obstruction, including bilious vomiting and abdominal distension.
  • Initial ultrasound imaging identified a cystic mass in the right abdominal region, suggestive of a duplication anomaly.

Findings:

  • Surgical intervention involving ileocolic resection and end-to-end anastomosis was performed.
  • Microscopic examination of the resected tissue definitively confirmed the diagnosis of a cecal duplication cyst.

Implications:

  • Contrast enema can be a valuable diagnostic tool for differentiating cecal duplication cysts from other neonatal colonic pathologies, particularly when the cyst communicates with the colon, presenting as a filling defect.
  • While often asymptomatic, early detection and surgical excision of cecal duplication cysts are crucial to prevent potential complications such as obstruction or intussusception.