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Ileocecal Duplication Cyst Masked by Appendicitis: A Surgeon's Eternal Dilemma

Anuradha S Dnyanmote1, Kuldip Patil2, Rushi Kanani3

  • 1Surgery, Dr DY Patil Medical College, Hospital and Research Centre, Pune, IND.

Cureus
|July 22, 2024
PubMed

Insights

Alimentary tract duplications are rare congenital anomalies, often presenting in early childhood. This case highlights an asymptomatic ileal-caecal duplication cyst discovered incidentally in an adult male with appendicitis.

Area of Science:

  • Gastroenterology
  • Pediatric Surgery
  • Surgical Pathology

Background:

  • Alimentary tract duplications are congenital malformations, frequently diagnosed in children under two.
  • Common sites include the terminal ileum, with symptoms like abdominal mass, obstruction, or bleeding.
  • Preoperative diagnosis of intra-abdominal duplications is often difficult, usually found during surgery.

Observation:

  • A 32-year-old male presented with acute appendicitis.
  • An asymptomatic ileal-caecal junction duplication cyst was incidentally discovered during surgical examination.
  • This represents an unusual presentation of a duplication cyst in an adult.

Findings:

  • The patient had an asymptomatic ileal-caecal duplication cyst.
  • The cyst was incidentally found alongside acute appendicitis.
  • No complications related to the duplication cyst were noted.

Implications:

  • This case underscores the possibility of asymptomatic alimentary tract duplications in adults.
  • It highlights the importance of thorough surgical exploration for incidental findings.
  • Such cases may contribute to understanding the varied clinical spectrum of these rare congenital anomalies.

Keywords:
appendicitsappendicular massappendicular perforationileocecalintestinal duplication

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