A case of ileocecal duplication cyst protruding into the intestinal lumen enucleated via an anti-mesenteric approach

Endo, Kazuhira; Murakami, Kosaku; Mishima, Yasuhiko; Tamaki, Akihiko; Takemoto, Junkichi; Morita, Keiichi; Iwade, Tamaki; Okata, Yuichi; Hisamatsu, Chieko; Fukuzawa, Hiroaki; Bitoh, Yuko; Akasaka, Yoshinobu; Yokoi, Akiko

doi:10.1016/j.epsc.2016.09.012

Cited by 4 publications

(8 citation statements)

References 15 publications

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“…Upon enucleation, they incised the common wall with the native intestines up to the lumen, resected all the common wall, and closed the defect to reconstruct the native intestines. Endo et al reported another enucleation approach [ 8 ]. Since the cyst was located on the mesenteric side and protruded into the lumen of the native intestines, they opened the anti-mesenteric wall of the cecum and visualized the cyst as a submucosal tumor.…”

Section: Discussionmentioning

confidence: 99%

“…Since the cyst was located on the mesenteric side and protruded into the lumen of the native intestines, they opened the anti-mesenteric wall of the cecum and visualized the cyst as a submucosal tumor. They successfully enucleated the cyst while preserving the common wall [ 8 ]. We incised a layer of the mesentery above the cyst to visualize the cyst wall.…”

Section: Discussionmentioning

confidence: 99%

“…The optimal surgical procedure for duplication cysts located in the IC region is not well discussed in the literature, despite the importance of a functional IC valve [ 7 ]. There are six patients, including ours, who underwent IC valve-sparing resection of IC duplication cysts described in the literature; Table 1 summarizes the clinical and operative data from these cases [ 7 , 8 ]. All patients had duplication cysts in the IC angle on the mesenteric border.…”

Section: Discussionmentioning

confidence: 99%

“…To date, there have been few case reports of IC valve-sparing surgery to preserve IC valve function. Most cases have been treated with IC resection and ileocolic anastomosis, even when IC valve-sparing surgery is feasible [ 7 , 8 ]. Herein, we report two cases of duplication cyst in the terminal ileum adjacent to the IC valve that were successfully treated with cyst mucosectomy.…”

Section: Introductionmentioning

confidence: 99%

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Ileocecal valve-sparing surgery for duplication cysts in the terminal ileum: two case reports and literature review

et al. 2022

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Background Duplication cysts close to the ileocecal valve are usually treated with ileocecal resection. However, loss of the ileocecal valve will lead to problems, especially in infants. Mucosectomy of the cyst would be a better alternative that preserves the ileocecal valve. We report two cases of duplication cyst in the terminal ileum successfully treated with mucosectomy. Case presentation Case 1. A 3-month-old boy with bilious emesis and abdominal distention was referred to our hospital with a diagnosis of small bowel obstruction caused by an abdominal cyst. Computed tomography revealed a cystic mass compressing the terminal ileum and causing mechanical small bowel obstruction. His general condition deteriorated quickly; emergency laparotomy was performed. Although the small intestines were dilated and partially twisted, there was no necrosis. Following intestinal decompression, a cystic mass adjacent to the terminal ileum was confirmed on the mesenteric side. Cyst mucosectomy was performed to preserve the ileocecal valve. Case 2. A 5-month-old boy with sudden onset of hematochezia was referred to our hospital with a diagnosis of intussusception. Following unsuccessful contrast enemas, emergency surgery was performed. A cystic mass adjacent to the terminal ileum was confirmed; there was no intussusception. Cyst mucosectomy was performed. Both patients had an uneventful postoperative course. Conclusions Cyst mucosectomy, which preserves the ileocecal valve, is safe and effective for treating duplication cysts in the terminal ileum.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Ileocecal valve-sparing surgery for duplication cysts in the terminal ileum: two case reports and literature review

et al. 2022

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“…2 Surgical management is essential for these rare cysts. 5 We encountered a Bangladeshi boy with a gastric duplication cyst (GDC) that was pre-operatively diagnosed as a pancreatic cyst. A variety of imaging modalities failed to indicate GDC before the operation.…”

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confidence: 99%

Gastric antral duplication cyst: A case report

Fathema

Benzamin

Begum

et al. 2021

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Alimentary tract duplications may be symptomatic or may be discovered incidentally. They are named for the organ with which they are associated.1 Congenital gastrointestinal (GI) tract duplication cysts are commonly located in the ileum (53%), mediastinum (18%), colon (13%), stomach (7%), duodenum (6%), rectum (4%), or oesophagus (2%)2. A single theory is insufficient to explain all types of duplications.3 Children may present with symptoms like vomiting, abdominal pain, lumps, or weight loss.4 The presence of ectopic gastric mucosa and the potential for malignancy remain matters of concern.2 Surgical management is essential for these rare cysts.5 We encountered a Bangladeshi boy with a gastric duplication cyst (GDC) that was pre-operatively diagnosed as a pancreatic cyst. A variety of imaging modalities failed to indicate GDC before the operation. Here we present the clinical course of the case and discuss the difficulties and problems in diagnosing GDC.

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