Related Experiment Video
Updated: Jun 28, 2025
Microscopic Cyst Resection for the Treatment of Patients Diagnosed with Epididymal Cyst
Published on: March 31, 2023
Enteric duplication cysts in paediatric population along with literature review
Sana Ahuja1, Rashi Maheshwari1, Saba Naaz1
1Department of Pathology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.
Insights
Enteric duplication cysts present with varied symptoms, often mimicking intestinal obstruction. Early surgical excision is crucial for a good prognosis in pediatric cases.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Developmental Biology
Background:
- Enteric duplication cysts are rare congenital anomalies, presenting a diagnostic challenge due to varied clinical manifestations.
- Symptoms range from nausea and vomiting to severe complications like intestinal obstruction and perforation, depending on cyst location.
Observation:
- A retrospective review identified four pediatric cases of enteric duplication cysts between 2019 and 2023.
- Presentations included intestinal obstruction (abdominal distension, pain) in three patients and an antenatally detected mass in one.
- The cases involved ileal (3) and cecal (1) duplication cysts, with histological findings of ileal/cecal mucosa and one instance of ectopic gastric mucosa.
Findings:
- Surgical excision is the definitive treatment for enteric duplication cysts.
- Radiological imaging aids in provisional diagnosis, but histopathological examination confirms the final diagnosis.
- Early diagnosis and treatment are essential to prevent complications and ensure favorable patient outcomes.
Implications:
- This case series highlights the importance of considering enteric duplication cysts in the differential diagnosis of pediatric abdominal masses and obstruction.
- Understanding the varied presentations and confirming diagnosis via histopathology are key for timely surgical intervention.
- Prompt management of these congenital anomalies leads to improved patient prognosis and reduces long-term morbidity.
Abstract:
The clinical presentation of enteric duplication cysts is dependent on the location of the cyst with symptoms varying from nausea and vomiting to abdominal distension, pain and perforation. Four patients were identified who were diagnosed with enteric duplication cysts within the period from 2019 to 2023. Three of the patients presented with signs of intestinal obstruction-abdominal distension and pain, while one had an antenatally detected abdominal mass. There were three boys and one girl with ages ranging from 4 months to 14 years. Three cases of ileal and one case of caecal duplication cyst were reported. Most of the cases showed ileal/caecal mucosa while one case demonstrated ectopic gastric mucosa. The treatment of these cysts includes surgical excision. Although radiological investigations help in arriving at a provisional diagnosis, the final diagnosis can be confirmed only after histopathological examination. Early treatment prevents complications and results in a good prognosis for the patient.
