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Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Enteric Duplication Cyst Associated With Meckel's Diverticulum: A Rare Cause of Acute Abdomen
Kugendran Ponniah1, Stephen Kinsey-Trotman1, Naveen Agarwal1
1Northern Adelaide Local Health Network, Haydown Road, Elizabeth Vale, South Australia.
Abstract:
We report a case of a 26-year-old type 1 diabetic woman presenting with acute lower abdominal pain, bloating, and vomiting. Initial examination revealed right lower quadrant tenderness and a suprapubic mass. Computed tomography (CT) imaging identified a 12-cm cystic structure suggestive of a dilated bowel loop with an adjacent inflamed 7-cm small bowel segment. Surgical exploration uncovered a Merkel's diverticulum-associated duplication cyst originating from the Meckel's diverticulum. Subsequent complications included an anastomotic leak, requiring relook laparotomy and the formation of a double-barrel stoma. The patient recovered and was discharged on day 13. This case highlights the diagnostic challenge of Meckel's diverticulum-associated duplication cysts, emphasizing the need for vigilance in managing complex abdominal presentations.
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