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Ileal duplication in adults: A rare case.
Aida Zaiem1, Souhaib Atri1, Fadhel Samir Fteriche1
1Hôpital la Rabta, Tunis, Tunisia.
International Journal of Surgery Case Reports
|April 14, 2024
Summary
This case report highlights a rare adult enteric duplication cyst (EDC) discovered incidentally via CT scan in a patient with polymyositis. Early diagnosis and surgical removal are crucial for managing these congenital malformations.
Area of Science:
- Gastroenterology
- Congenital Malformations
- Surgical Case Reports
Background:
- Intestinal duplication is a rare congenital anomaly of the alimentary tract.
- Enteric duplication cysts (EDCs) are more commonly diagnosed in children but can present in adults.
Observation:
- A 34-year-old woman with polymyositis presented with an 8 cm mass near the ileocecal region, identified on CT scan.
- Diagnostic imaging confirmed a cystic mass, and colonoscopy revealed ileocecal valve compression.
Findings:
- Histological examination confirmed the mass as an enteric duplication cyst containing ectopic gastric mucosa.
- The patient underwent successful ileocecal resection with primary anastomosis.
Implications:
- This case underscores the importance of considering EDCs in adult patients, even when asymptomatic.
- Prompt diagnosis and surgical intervention are vital for preventing complications and improving patient outcomes.
- Increased clinician awareness may lead to earlier detection and management of these rare conditions.
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