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Cecal Duplication Cyst Presenting With Hematochezia
Serina Beydoun1,2, James W Davis2,3, Namir Al-Ansari1,2
1Department of Pediatric Gastroenterology, Children's Hospital of Michigan, Detroit, MI.
Insights
Enteric duplication cysts are rare congenital anomalies. This case highlights a cecal duplication cyst presenting as hematochezia in an infant, emphasizing the need for timely diagnosis and surgical intervention to prevent serious complications.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Congenital Anomalies
Background:
- Enteric duplication cysts are uncommon congenital malformations.
- They can manifest with vague symptoms, complicating early diagnosis.
- Prompt identification is crucial for preventing severe outcomes.
Observation:
- A 13-month-old female presented with hematochezia, initially misdiagnosed as viral gastroenteritis.
- Imaging studies revealed a cecal duplication cyst.
- The patient underwent surgical resection via ileocecectomy.
Findings:
- Pathological examination confirmed the diagnosis of a cecal duplication cyst.
- The surgical intervention successfully addressed the anomaly.
- This case underscores the diagnostic challenges associated with enteric duplication cysts.
Implications:
- Early diagnosis and a multidisciplinary approach are vital for managing enteric duplication cysts.
- Surgical management is essential to avoid complications like bowel obstruction and perforation.
- Optimal patient outcomes depend on prompt and accurate diagnosis and treatment.
Abstract:
Enteric duplication cysts are rare congenital anomalies that can present with nonspecific symptoms, making diagnosis difficult. We present a case of a 13-month-old woman with hematochezia, initially diagnosed with viral gastroenteritis, who was later found to have a cecal duplication cyst on imaging. Surgical resection with ileocecectomy was performed, and pathology confirmed the diagnosis of cecal duplication cyst. Early diagnosis and a multidisciplinary approach are essential for preventing complications such as bowel obstruction and perforation, ensuring optimal outcomes.
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