A retroperitoneal enteric duplication cyst communicating with the right upper ureter in an infant

Bal, Harshjeet Singh; Kisku, Sundeep; Sen, Sudipta; Masih, Dipti

doi:10.1136/bcr-2013-202449

Cited by 8 publications

(11 citation statements)

References 20 publications

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“…[ 6 ] Retroperitoneal duplications are extremely rare with seven case reports in English literature including one case from our institution. [ 7 ] Uniquely, this cyst was communicating with a nonfunctioning right kidney and lined with gastric mucosa.…”

Section: Discussionmentioning

confidence: 99%

Enteric duplication in children: Experience from a tertiary center in South India

Jehangir

Ninan

Jacob

et al. 2015

J Indian Assoc Pediatr Surg

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Background:Enteric duplications (EDs) are rare aberrations of the embryonic gut. This study was undertaken to define the clinical characteristics and management challenges of this unusual entity in the Indian population.Materials and Methods:Hospital records of 35 children with 38 ED operated between 2003 and 2014 were analyzed and followed up.Results:The median age at presentation was 285 days (range 1-day to 16 years) with male preponderance (71%). Small bowel duplications were the most common (44%), and thoracoabdominal duplications were seen in 8% children compared to 2% in the literature. The median duration of symptoms was 18 days (interquartile range [IQR] 3-210 days). Associated anomalies were seen in 49% children with vertebral and spinal anomalies being the most common. Ultrasonogram (US) was done in 83% children and had a sensitivity of 55%. In the presence of a gastrointestinal bleed, Technetium99m pertechnetate scintigraphy scan had a positive predictive value of 80%. Thirty-five lesions were completely removed. Mucosectomy was done in two children, and one total colonic duplication was left in situ after providing adequate internal drainage. There was no postoperative mortality. The follow-up was possible in 66% children.Conclusions:EDs are uncommon and have varied, nonspecific symptoms. Thoracoabdominal duplications are more common in the Indian population. The US is a good screening tool but requires a high index of suspicion where complete excision is not possible; the provision of adequate internal drainage is an acceptable alternative. The long-term prognosis of children with ED depends on the extent of physiological disturbance due to associated anomalies.

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Section: Discussionmentioning

confidence: 99%

Enteric duplication in children: Experience from a tertiary center in South India

Jehangir

Ninan

Jacob

et al. 2015

J Indian Assoc Pediatr Surg

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“…However, because these cysts can occur in various locations in the body, they may also cause respiratory distress or hematuria, when associated with the thorax or the genitourinary system, respectively. 3 Although most cysts present early in childhood, cases occurring in adults have also been reported. Interestingly, in the rare scenario that there is malignancy transformation of the cyst, these cases are known to occur solely in adults.…”

Section: Discussion and Literature Reviewmentioning

confidence: 99%

“…2 These cysts can also be completely separate from the bowel and have their own blood supply and rarely can be found near retroperitoneal structures. 3 A rare complication of these cysts is malignancy transformation, whereby adenocarcinoma has been reported. 4 Herein, we present the first case to our knowledge of a retroperitoneal enteric duplication cyst complicated by mucinous carcinoma that was managed through robot-assisted radical nephrectomy.…”

Section: Introductionmentioning

confidence: 99%

Completely Isolated Retroperitoneal Enteric Duplication Cyst with Adenocarcinoma Transformation Managed with Robotic Radical Nephrectomy

Faraj

Edwards

Gupta

et al. 2017

Journal of Endourology Case Reports

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Background: Enteric duplication cysts are congenital malformations that typically affect children in infancy, but can also affect adults. Rarely, these cysts can be complicated by malignancy. We present the first case of retroperitoneal duplication cyst that was complicated by malignancy transformation and managed by robot-assisted excision.Case presentation: A 64-year-old female with a history of a left-sided renal cyst presented with a 4-month history of abdominal pain and fatigue. MRI revealed a bilobed cyst, with components measuring 6.9 × 6.6 and 6.1 × 6.9 cm, which had grown since previous imaging, and hemorrhage in some portions of the cysts, as well as cystic wall enhancement, suggesting a possible malignancy. The patient consented to a robot-assisted partial (possible radical) nephrectomy. During the procedure, the cystic structure appeared to have grown since imaging, was intimately associated with the hilum, and had a complex vasculature, which prompted us to perform a radical nephrectomy. Grossly, the specimen consisted of a 14.8 cm cystic structure at the superior portion of the kidney, but was not contained within the renal parenchyma. Histologically, the internal mucosa of the cyst showed columnar epithelium with high-grade dysplasia and carcinoma in situ with focal individual cell infiltration into the superficial portion of the inferior part of the cyst. The patient saw a medical oncologist and was instructed to follow up with quarterly imaging to assess for disease progression.Conclusion: Enteric duplication cysts are uncommon entities that can occur in various locations in the body, causing a wide spectrum of symptoms, and are rarely complicated by malignancy transformation. Robot-assisted surgical resection is an option that we have shown to be effective in managing these patients.

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“…5,8 In order of decreasing frequency, the most common sites of enteric duplication cysts are the ileum, stomach, and appendix, with the rarest site being the gastroduodenal region. 9,10 Criteria to establish the diagnosis of enteric duplication cyst include the presence of a double-walled cyst, simulating the normal anatomy of the intestine, lined with enteric-type epithelium, and sharing a common blood supply with its neighboring alimentary tract. 11 Rare subtypes of retroperitoneal enteric duplication cysts do not communicate with the intestine and have their own exclusive blood supply.…”

Section: Introductionmentioning

confidence: 99%

“…8,14 In more than 50% of cases, other associated malformations such as vertebral defects and other GI duplications may be present. 10 Ultrasonography, computed tomography (CT), and magnetic resonance imaging (MRI) remain the main diagnostic tools. 14 Herein we present a case of enteric duplication cyst initially believed to be of neural origin.…”

Section: Introductionmentioning

confidence: 99%

Presacral Noncommunicating Enteric Duplication Cyst

et al. 2016

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A retroperitoneal enteric duplication cyst communicating with the right upper ureter in an infant

Cited by 8 publications

References 20 publications

Enteric duplication in children: Experience from a tertiary center in South India

Enteric duplication in children: Experience from a tertiary center in South India

Completely Isolated Retroperitoneal Enteric Duplication Cyst with Adenocarcinoma Transformation Managed with Robotic Radical Nephrectomy

Presacral Noncommunicating Enteric Duplication Cyst

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