Duplication Cyst of the Sigmoid Colon

Abstract

A 21-year-old male with developmental delay presented with abdominal pain of two days' duration. He was afebrile and his abdomen was soft with mild diffuse tenderness. There were no peritoneal signs. Plain x-ray demonstrated a large air-filled structure in the right upper quadrant. Computed tomography of the abdomen revealed a 9 × 8 cm structure adjacent to the hepatic flexure containing an air-fluid level. It did not contain oral contrast and had no apparent communication with the colon. At operation, the cystic lesion was identified as a duplication cyst of the sigmoid colon that was adherent to the right upper quadrant. The cyst was excised with a segment of the sigmoid colon and a stapled colo-colostomy was performed. Recovery was uneventful. Final pathology was consistent with a duplication cyst of the sigmoid colon. The cyst was attached to the colon but did not communicate with the lumen.

A rare case of acute abdomen in the adult: The intestinal duplication cyst. case report and review of the literature

“…Colonoscopy may identify those that communicate with the wall of the colon [14]. Anyway, preoperative diagnosis is uncommon.…”

Laparoscopic approach to non-communicating intestinal duplication cyst in adult

“…Ultrasonography may also be a useful imaging modality; however, the diagnosis is best established with CT imaging or contrast enema. Contrast studies will demonstrate a filling defect or luminal communication with the bowel if there is in fact one [ 10 ]. Complete excision of the duplication is the preferred treatment, except in cases in which extensive involvement is present or vital structures are jeopardized [ 7 ], to avoid any future complications, including the possibility of malignant degeneration [ 6 ].…”

A Retroperitoneal Isolated Enteric Duplication Cyst Mimicking a Teratoma: A Case Report and Literature Review

“…The present case is the first report of an IEDC with a tortuous tubular complex shape. However, in EDCs that have continuity with the wall of the normal alimentary tract, the shape can be either spherical (80%) or tubular (20%) [31]. That is, 20% of EDCs are tubular.…”