Giant Duplication Cyst Presenting as a Discharging Umbilicus.

Area of Science:

• Pediatric Surgery
• Congenital Anomalies
• Gastrointestinal Surgery

Background:

• Alimentary tract duplication cysts are uncommon congenital malformations.
• These cysts can occur anywhere along the gastrointestinal tract, most frequently in the ileum.
• Clinical presentations vary, including asymptomatic cases, obstruction, volvulus, intussusception, or gastrointestinal bleeding.

Observation:

• A one-year-old male infant presented with respiratory distress and shock.
• Initial diagnoses considered Meckel's diverticulum and abdominal tuberculosis.
• Exploratory laparotomy revealed an ileal duplication cyst with umbilical perforation.

Findings:

• The case demonstrates a rare presentation of an ileal duplication cyst.
• Perforation into the umbilicus is an unusual complication.
• Diagnostic challenges in critically ill infants with abdominal pathologies.

Implications:

• Ileal duplication cysts should be considered in the differential diagnosis of pediatric abdominal emergencies.
• Prompt surgical intervention is crucial for improved patient outcomes.
• Highlights the importance of thorough diagnostic evaluation in complex pediatric surgical cases.