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Published on: February 28, 2025
Obstructed jejunal duplication cyst in an infant
1Hospital Lam Wah Ee, Department of Imaging, Penang, Malaysia. hocheekeong3@yahoo.com.
Insights
A rare case of infant intestinal obstruction caused by a jejunal duplication cyst was successfully treated with surgery. This highlights the importance of ultrasound in diagnosing such rare pediatric surgical emergencies.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Medical Imaging
Background:
- Intestinal obstruction is a serious condition in infants.
- Duplication cysts are a rare cause of intestinal obstruction in this age group.
Purpose of the Study:
- To report a case of jejunal duplication cyst causing intestinal obstruction in an infant.
- To emphasize the diagnostic role of ultrasound in such cases.
Main Methods:
- Case presentation of a three-month-old boy with intermittent intestinal obstruction.
- Diagnostic imaging using ultrasound.
- Surgical intervention involving segmental jejunal resection.
Main Results:
- Ultrasound successfully identified a small bowel duplication cyst.
- The patient underwent successful surgery with an uneventful recovery.
- The child showed significant weight gain at one-year follow-up.
Conclusions:
- Jejunal duplication cysts, though rare, should be considered in the differential diagnosis of infant intestinal obstruction.
- Ultrasound is a valuable tool for the diagnosis of jejunal duplication cysts.
- Surgical resection offers a definitive treatment with good long-term outcomes.
Abstract:
Intestinal obstruction in infancy due to duplication cyst is rare. This is a case of a three-month old boy presented to the hospital with symptoms and signs of intermittent intestinal obstruction for three-week duration. Investigation with ultrasound revealed a small bowel duplication cyst. Patient underwent successful segmental jejunal resection and made an uneventful recovery. He made significant weight gain at one-year follow-up. The diagnostic approach to infant with intestinal obstruction is described with special emphasis on ultrasonographic features of jejunal duplication cyst.
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