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Jejunal duplication cyst in a female neonate: a case report
Rajesh Prasad Sah1, Amrit Bhusal2, Sagar Pokhrel3
1Pediatrics Surgery Division, Department of Surgery.
Insights
Jejunal duplication cysts (DCs) are rare congenital anomalies. This report details a successful surgical management of a jejunal DC in a neonate, highlighting the importance of considering DCs in cases of intestinal obstruction.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Congenital Anomalies
Background:
- Enteric duplications (DCs) are rare congenital malformations occurring along the gastrointestinal tract.
- While most common in the ileum, jejunal DCs are exceptionally rare, affecting approximately 1 in 25,000 deliveries.
- DCs can present as cystic, tubular, or mixed types, often associated with other congenital anomalies.
Purpose of the Study:
- To report a case of a rare jejunal duplication cyst in a neonate.
- To emphasize the successful surgical management and post-operative care of this condition.
- To highlight the importance of including jejunal duplication cysts in the differential diagnosis of neonatal intestinal obstruction.
Main Methods:
- Surgical resection of the jejunal duplication cyst.
- Comprehensive post-operative care and monitoring.
- Review of relevant literature on jejunal duplication cysts.
Main Results:
- Successful surgical excision of the jejunal DC was achieved.
- The neonate experienced an uncomplicated post-operative recovery.
- No immediate or short-term complications were observed.
Conclusions:
- Jejunal duplication cysts, though rare, require prompt surgical intervention.
- Early diagnosis and surgical management are crucial for favorable outcomes in neonates.
- Paediatric surgeons should consider jejunal duplication cysts in the differential diagnosis of neonatal intestinal obstruction.
Introduction And Importance:
Duplications are the abnormal portion of the intestine, either externally attached to the intestine or intrinsically placed within the bowel lumen. Their prevalence is noted to be around one in 25 000 deliveries. The rare gastrointestinal tract duplication may be located in any part of the gastrointestinal system from the oral cavity to the anus. The most common site of enteric duplication cyst (DC) is the terminal part of the ileum. Hence, duplications in jejunum are rare.
Case Presentation:
Hereby, the authors report a case of jejunal DC in a female neonate which was managed successfully via surgery and adequate post-operative care without any complications.
Clinical Discussion:
Duplications are more frequently single. They are usually located in the mesenteric border of the associated native bowel and may vary in shape and size. Most of them are cystic, followed by tubular and mixed type, with or without other congenital anomalies. More than 80% of the cases present before the age of 2 years as an acute abdomen or bowel obstruction, but many duplications remain silent unless complications occur, and therefore may not be diagnosed until adulthood. Complications of enteric DC include volvulus, bleeding, and, rarely, malignant degeneration.
Conclusion:
It is important for paediatric surgeons to include DC in the differential diagnosis if a neonate presents with features of intestinal obstruction.
