Enteric Duplication Cyst Leading to Volvulus: An Unusual Cause of Acute Intestinal Obstruction – A Case Report

Abstract

Enteric Duplication Cysts (EDC) is a rare congenital malformation, usually found in mesenteric side of Gastrointestinal (GI) tract. Generally patients present with non-specific symptoms depending on size and location of the cyst in GI tract. EDC presenting as small bowel volvulus is a rare clinical entity. Herein, we are reporting a 16-year-old adolescent girl who presented to Emergency Department (ED) with the features of acute bowel obstruction with septicemia. Patient underwent exploratory laparotomy which revealed dilated, twisted, gangrenous bowel due to a cystic lesion adjacent to the mesenteric side. Resection of the cystic lesion along with the affected gangrenous segment of bowel with an end to end anastomosis performed.

A Systematic Review of Prenatally Diagnosed Intra-abdominal Enteric Duplication Cysts

“…While some patients present at birth or early infancy with volvulus, intussusception, obstruction, bleeding or perforation, other patients are asymptomatic and develop late complications including chronic subacute obstruction and malignancy. [7][8][9][10][11][12][13][14][15] It is thought that some of the variation in clinical presentations may be secondary to variation in anatomic location, size of the enteric duplication cyst, size of the communication with the gastrointestinal tract, and the presence of gastric mucosa (which is most frequently associated with bleeding and perforation). 15,25 However, currently no features have been demonstrated to be predictive of which patients will require immediate or early intervention, and which patients can be monitored and undergo safe prophylactic resection later in life.…”

“…Enteric duplication cysts can present with acute or chronic symptoms secondary to intussusception, obstruction, bleeding, perforation or malignant degeneration. [7][8][9][10][11][12] However, some patients with enteric duplication cysts are diagnosed incidentally or remain asymptomatic until late adulthood. [13][14][15] Prenatal ultrasound (US) scans are becoming increasingly detailed in the detection of congenital anomalies including enteric duplication cysts.…”

"A Unique Case of Duplication Cyst of Esophagus and Ileum, with Meckle’s Diverticulum"

“…Enteric duplication cysts is a rare congenital anomaly, that can be present anywhere along gastrointestinal tract, from mouth to anus [1]. Mostly its treatment is surgical resection [2]. Here we present a case of duplication cysts of esophagus and ileum with Meckel's diverticulum, which is a rare entity.…”

Spontaneous small bowel volvulus in young adult male

“…SBV is a rare occurrence of surgical emergency in western nations but is more common in Africa, India and Iran [3] . There are 2 main categories of volvulus: 1) Primary volvulus of the small bowel, without any identifiable anatomical causes [3] and 2) Secondary volvulus of the small bowel, where the torsion is caused by an abnormal underlying pathology such as adhesion bands [4] , tumors [5] , Meckel's diverticulum [6] and duplications [7] .…”