Year: 2024 | Month: February | Volume: 14 | Issue: 2 | Pages: 137-142
DOI: https://doi.org/10.52403/ijhsr.20240217
Isolated Enteric Duplication Cyst: A Rare Congenital Anomaly
Dr. Sumiti Gupta1, Dr. Vibhav Goel2, Dr. Mahak Dahiya3, Dr. Anjali Bishlay4, Dr. Sunita Singh5, Dr. Pardeep Kajal6
1Professor, Department of Pathology, Pt. B. D. Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India.
2Junior resident, Department of Pathology, Pt. B. D. Sharma Post Graduate Institute of MedicalSciences, Rohtak, Haryana, India.
3Senior resident, Department of Pathology, Pt. B. D. Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India.
4Senior resident, Department of Pathology, Pt. B. D. Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India.
5Senior Professor and Head, Department of Pathology, Pt. B. D. Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India.
6Professor, Department of Pediatric Surgery, Pt. B. D. Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India.
Corresponding Author: Dr. Vibhav Goel
ABSTRACT
Introduction: Gastrointestinal tract duplications are uncommon congenital abnormalities, commonly present as cysts. By definition, they are located in or adjacent to the wall of part of the gastrointestinal tract, have smooth muscle in their walls, and are lined by alimentary tract mucosa. Duplication Cysts are most commonly located in the distal ileum; sometimes, they are associated with other visceral or skeletal anomalies. They are frequently discovered during childhood, following a bowel obstruction or abdominal pain.
Materials and methods: A 19-day-old Indian boy presented with abdominal distension and a chief complaint of regurgitation of feeds since birth. Contrast-enhanced computed tomography showed a large hypodense cystic lesion in an abdominal cavity.
Results: Surgical exploration and pathologic specimens resulted in the diagnosis of an isolated enteric(ileal) duplication cyst.
Discussion: An enteric duplication cyst must be ruled out for repeated episodes of feeding regurgitation, especially in an infant. Diagnosing this case was challenging, and imaging tests could not identify whether the mass was in the retroperitoneum or the anterior peritoneum. For such cases, surgical exploration is necessary to make a definitive histopathological diagnosis of this rare congenital anomaly as it can present in various clinical forms. It can cause significant morbidity and even mortality if left untreated by causing life-threatening complications.
Key words: congenital, duplication cysts, surgical exploration, histopathological