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Type 1a Duodenojejunal Tubular Duplication Cyst with Complex Rotational Anomaly Masquerading as Chronic Anemia
Priya Mathew1, Ankur Mandelia1, Amit Buan1
1Department of Pediatric Surgery, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
Insights
This case report highlights a rare instance of a 4-year-old girl with chronic anemia caused by co-occurring enteric duplication cysts and reversed intestinal rotation (RIR). Surgical intervention successfully resolved the condition.
Area of Science:
- Pediatric Surgery
- Congenital Anomalies
- Gastrointestinal Motility Disorders
Background:
- Enteric duplication cysts and reversed intestinal rotation (RIR) are rare congenital anomalies.
- Their coexistence is exceptionally uncommon, presenting diagnostic challenges.
Abstract:
Enteric duplication cysts and reversed intestinal rotation (RIR) are rare congenital anomalies, with their coexistence being exceptionally uncommon. We report a 4-year-old girl who presented with chronic anemia and intermittent abdominal symptoms since infancy. Detailed workup for medical causes of anemia was inconclusive. Computed tomography of the abdomen revealed intestinal malrotation with a grossly dilated small bowel loop. Intraoperative findings revealed a long duodenojejunal tubular duplication with a separate mesentery (Type 1a) and RIR. The patient underwent a Ladd's procedure, resection of the duplication cyst, and end-to-end anastomosis. This case underscores the anatomical rarity, varied clinical presentation, and challenges in making an accurate and timely diagnosis in such a case.
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