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Perforated jejunal duplication cyst in an adult: diagnosis and management

Vikram Saini1, Parshant Kumar2, Ujwal Chander3

  • 1Department of Surgical Discipline, All India Institute of Medical Sciences Bathinda, Bathinda, Punjab, India vikramsaini2006@hotmail.com.

BMJ Case Reports
|January 30, 2026
PubMed

Insights

Enteric duplication cysts, rare congenital anomalies, can occur in the jejunum. This case highlights a perforated jejunal duplication cyst in an adult, requiring surgical resection and anastomosis.

Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Enteric duplication cysts are rare congenital gastrointestinal anomalies.
  • They are typically diagnosed in children, with adult cases being infrequent.

Purpose of the Study:

  • To report a rare case of jejunal duplication cyst perforation in an adult.
  • To emphasize the importance of recognizing this anomaly for surgical planning.

Main Methods:

  • Case report of a male in his 50s presenting with acute abdomen.
  • Emergency exploratory laparotomy revealing perforated jejunal duplication cysts.
  • Surgical resection of the affected jejunal segment with end-to-end anastomosis.

Main Results:

  • Identification and surgical management of two communicating jejunal duplication cysts, one perforated.
  • Successful resection and anastomosis performed.
  • Histological examination confirmed the diagnosis.

Conclusions:

  • Adult presentation of enteric duplication cysts, particularly with perforation, is uncommon.
  • Multimodality imaging can aid preoperative diagnosis, but intraoperative diagnosis is frequent.
  • Increased clinical awareness is crucial for timely recognition and surgical intervention.

Keywords:
Gastrointestinal surgeryGeneral surgery

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