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[Unusual cause of post-traumatic hemoperitoneum: rupture of enterogenous cysts]
E Marinoni1, M Amadio, M Ricca
1U.S.S.L. N. 55 Piemonte-Verbania (Novara), Stabilimento Ospedaliero di Verbania.
Insights
A rare case of hemoperitoneum in a child resulted from a ruptured enteric cyst. This surgical finding highlights a serious complication of alimentary tract duplication, requiring prompt medical attention.
Area of Science:
- Gastroenterology
- Pediatric Surgery
- Medical Diagnostics
Background:
- Enteric cysts are rare congenital anomalies, often asymptomatic.
- Complications such as rupture and bleeding are infrequent but can be life-threatening.
- Alimentary tract duplication anomalies require careful diagnostic evaluation and management.
Observation:
- A 4-year-old girl presented with symptoms suggestive of acute appendicitis.
- Laparotomy revealed hemoperitoneum caused by a ruptured paraduodenal enteric cyst.
- Five additional enteric cysts were identified near the ruptured site.
Findings:
- The primary cause of hemoperitoneum was a post-traumatic rupture of an enteric cyst.
- Multiple enteric cysts can present as a rare cause of intra-abdominal bleeding in children.
- Surgical intervention is crucial for managing ruptured enteric cysts and associated hemoperitoneum.
Implications:
- This case underscores the importance of considering enteric cysts in the differential diagnosis of acute abdominal pain and hemoperitoneum in pediatric patients.
- Early surgical intervention can prevent life-threatening complications associated with ruptured enteric cysts.
- Further research into the etiology and management of enteric cyst complications is warranted.
Abstract:
Authors present a rare complication of multiple enteric cystes: hemoperitoneum. A little girl 4 years old was operated on by suspected acute appendicitis. The surgery showed hemoperitoneum by bleeding from broken (post-traumatic) paradigiunal cyst. Other 5 cystes were present near the first one. Authors review shortly some titles of bibliography about duplication of the alimentary tract and hemoperitoneum.