Traumatic perforation of a juxtapancreatic enteric duplication cyst: a paediatric emergency

Sachit Anand1, Vishesh Jain1, Devasenathipathy Kandasamy2

  • 1Department of Paediatric Surgery, All India Institute of Medical Sciences, New Delhi, India.

BMJ Case Reports
|May 27, 2019
PubMed

Insights

A rare juxtapancreatic duplication cyst was found in an infant with peritonitis due to traumatic perforation. Selective mucosectomy may be a key treatment for this condition.

Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Surgery

Background:

  • Juxtapancreatic duplication cysts are rare congenital anomalies.
  • These cysts can present with various complications, including perforation.

Observation:

  • A 5-month-old infant presented with peritonitis.
  • The peritonitis was caused by traumatic perforation of a juxtapancreatic duplication cyst.

Findings:

  • The case highlights the diagnostic challenges and potential severity of juxtapancreatic duplication cysts.
  • Successful management involved addressing the perforation and cyst.

Implications:

  • This case underscores the importance of considering duplication cysts in infants with abdominal emergencies.
  • Selective mucosectomy is presented as a potential therapeutic approach for these rare cysts.

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