Duplication Cyst with Intestinal Volvulus Causing Intestinal Atresia/Stenosis in Neonates

Abstract

Duplication cysts of small bowel seldom present in newborns and usually represent the development of complications. In utero complications may lead to mesenteric vascular accidents and thus resulting in intestinal atresias. We report three neonates with duplication cyst of small bowel causing localized intestinal volvulus, leading to small bowel intestinal atresia/stenosis. The neonates underwent excision of the duplication cyst and resection anastomosis of the small bowel. Post-operative recovery was uneventful in all three of them.

Differences in the Outcome of Colonic Atresia with and without Abdominal Wall Defects

“…While some studies prefer primary anastomosis, 1,21 recent series in the literature have performed ostomies in 68 to 100% of patients. 9,11,22 Ostomy was the first-choice procedure in the treatment of CA in 77% of our patients. There was no significant difference between the two groups.…”

“…Most series, even recent ones, report a mortality rate of more than 20%. 3,9,11,20,32 Sepsis 11,33 and short bowel 9 are reported as the main reasons for fatal outcomes. Patients who died in our study had either severe associated problems or short bowel syndrome.…”

“…7 Other gastrointestinal-associated anomalies are common in patients with CA, mostly jejunoileal atresia (JIA). 3,10 Rare associated congenital malformations include pyloric atresia, 11 M. Hirschsprung, [12][13][14] imperforate anus, 15 or choledochal cysts. 15,16 Nongastrointestinal-associated malformations include cleft lip and palate, 3 malformations of the eyes 17 and the central nervous system, 1,18 cardiac, 19 urogenital, 3 and musculoskeletal 20 malformations.…”

“…There are different CA treatment options such as primary anastomosis 1,21,22 or ostomy. 9,11,22 Ostomy is seen as the primary choice for complicated CA. 21 The CA outcome is better with early surgery.…”

Laparoscopic removal of an isolated duplication intenstinal cyst in a child

“…Также в литературе встречаются описания единичных наблюдений воспалительного изменения данных кист, вплоть до их некротической трансформации, а также малигнизации кишечных дупликационных кист, выявленных у взрослых пациентов [7,8]. Кишечные дупликационные кисты в антенатальном периоде могут быть причиной локального заворота тонкой кишки, что в свою очередь приводит к ишемии и атрезии отдельных участков тонкой кишки [9]. Также в литературе описываются случаи, когда дупликационные кисты расценивались как кишечная инвагинация [10].…”