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Enteric Duplication Cyst With Segmental Gut Volvulus in an Infant: A Case Report
Yirgalem Teklebirhan Gebreziher1, Feven Mekonen Tadesse1, Dirar Medhanie Gebremedin1
1Mekelle University, Mekelle, Ethiopia.
Insights
Enteric duplication cysts causing small bowel volvulus are rare. This case highlights a 5-month-old infant diagnosed and treated for this condition, emphasizing early surgical intervention.
Area of Science:
- Pediatric Surgery
- Gastroenterology
Background:
- Enteric duplication cysts are congenital anomalies that can lead to serious complications.
- Volvulus of the small bowel, a twisting of the intestine, is a surgical emergency.
Observation:
- A 5-month-old infant presented with symptoms of intestinal obstruction, including abdominal distension and bilious vomiting.
- Abdominal ultrasound identified an 11 x 4 cm cystic mass in the right lower quadrant.
Findings:
- Exploratory laparotomy confirmed an enteric duplication cyst.
- Surgical resection of the cyst was performed and histologically confirmed.
Implications:
- Enteric duplication cysts pose diagnostic challenges due to varied presentations.
- Prompt surgical intervention is crucial, especially in resource-limited settings, after adequate resuscitation.
Abstract:
Enteric duplication cyst with volvulus of the small bowel is an infrequent clinical condition. A 5-month-old infant presented with signs of intestinal obstruction, including abdominal distension and bilious vomiting. Abdominal ultrasound revealed an 11 × 4 cm cystic mass in the right lower quadrant, and an exploratory laparotomy confirmed the presence of an enteric duplication cyst, which was then surgically resected and histologically confirmed. Duplication cysts present a diagnostic challenge for surgeons due to their varied presentations, requiring a high index of suspicion for diagnosis, and in resource-limited settings, early surgical intervention after adequate resuscitation may be necessary.
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