Infected enteric duplication cyst

Zitteren, Leonarda Maria van; Ruppert, Martin; Beeck, Bart Op de; Wojciechowski, Marek

doi:10.1136/bcr-2017-222391

Cited by 11 publications

(23 citation statements)

References 3 publications

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“…The transmural extension can produce important inflammatory changes in the surrounding mesentery fat (Figs. 13 and 14 ) [ 3 , 7 , 24 ]. Ileal EDC, near the ileocecal valve, can act as intussusception head, showing on US a cystic mass inside the intussusception requiring emergency treatment (Fig.…”

Section: Imaging Findingsmentioning

confidence: 99%

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Enteric duplication cysts in children: varied presentations, varied imaging findings

et al. 2018

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Enteric duplication cysts (EDCs) are rare congenital malformations formed during the embryonic development of the digestive tract. They are usually detected prenatally or in the first years of life. The size, location, type, mucosal pattern and presence of complications produce a varied clinical presentation and different imaging findings. Ultrasonography (US) is the most used imaging method for diagnosis. Magnetic resonance (MR) and computed tomography (CT) are less frequently used, but can be helpful in cases of difficult surgical approach. Conservative surgery is the treatment of choice. Pathology confirms the intestinal origin of the cyst, showing a layer of smooth muscle in the wall and an epithelial lining inside, resembling some part of the gastrointestinal tract (GT). We review the different forms of presentation of the EDCs, showing both the typical and atypical imaging findings with the different imaging techniques. We correlate the imaging findings with the surgical results and the final pathological features.Teaching Points• EDCs are rare congenital anomalies from the digestive tract with uncertain pathogenesis.• More frequently, diagnosis is antenatal, with most EDCs occurring in the distal ileum.• Ultrasonography is the method of choice for diagnosis of EDCs.• Complicated EDCs can show atypical imaging findings.• Surgery is necessary to avoid complications.

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Section: Imaging Findingsmentioning

confidence: 99%

“…The incidence is 1:4,500 births, found in 0.2% of all children, with a slight male predominance [ 3 , 5 – 7 ].…”

Section: Introductionmentioning

confidence: 99%

Enteric duplication cysts in children: varied presentations, varied imaging findings

et al. 2018

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“…Enteric duplication cysts are rare congenital lesions with a reported incidence of 1 in 4500 births. [1][2][3] They were first described by Ladd in 1937, and can arise anywhere in the gastrointestinal tract, from the oropharynx to the anus. [1][2][3] The most common site of occurrence is usually the small intestine (44%), followed by the colon (15%), stomach (7%), duodenum (5%) as well as rectum (5%), thoracic cavity (4%) and cervical and pyloric regions.…”

mentioning

confidence: 99%

“…[1][2][3] They were first described by Ladd in 1937, and can arise anywhere in the gastrointestinal tract, from the oropharynx to the anus. [1][2][3] The most common site of occurrence is usually the small intestine (44%), followed by the colon (15%), stomach (7%), duodenum (5%) as well as rectum (5%), thoracic cavity (4%) and cervical and pyloric regions. 3,4 Although the exact cause for their development during the early embryonic stages is not fully understood, multiple theories have been proposed to explain their pathophysiology, such as the presence of environmental factors during the gestational period, recanalization defects, split notochords and partial twinning.…”

mentioning

confidence: 99%

“…[1][2][3] The most common site of occurrence is usually the small intestine (44%), followed by the colon (15%), stomach (7%), duodenum (5%) as well as rectum (5%), thoracic cavity (4%) and cervical and pyloric regions. 3,4 Although the exact cause for their development during the early embryonic stages is not fully understood, multiple theories have been proposed to explain their pathophysiology, such as the presence of environmental factors during the gestational period, recanalization defects, split notochords and partial twinning. 1,2,4 Histologically, these cysts typically have a well-developed coat of smooth muscle lined with mucous membrane, and are usually located on the mesenteric side of the native bowel.…”

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Rare presentation of infected duplication cyst in an adult

Seah

Tan

Kabir

2020

ANZ Journal of Surgery

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Communicating multiple tubular enteric duplication with toxic megacolon in an infant

Jang

Chung

2021

Medicine

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Rationale: Gastrointestinal tract duplication is a rare congenial anomaly which can be found anywhere along the gastrointestinal tract. While many patients are incidentally diagnosed during operation, in some cases it can present with severe gastrointestinal symptoms. In this case report, the patient presented with signs of toxic megacolon leading to rapid aggravation of inflammatory shock. Patient concerns: A 49-day old male infant presented with fever, poor feeding, and severe abdominal distension. Diagnosis: Abdominal ultrasonography was done. During the examination, a foley catheter was inserted through the anus to evaluate bowel patency and enable rectal decompression. The tip of the foley catheter was located in a separate narrower tubular lumen adjacent to the distended rectum. These findings suggested possibility of a tubular duplication cyst of the rectum as the culprit for the bowel obstruction. Interventions: The patient underwent emergency laparotomy. Findings showed multiple tubular intestinal duplications involving the ileum, appendix, cecum, descending colon, sigmoid colon and rectum. The true lumen of the rectosigmoid colon was completely collapsed while the adjacent tubular cyst remained severely distended and stool passage was not possible. Decompression of the sigmoid colon was done with loop colostomy with both the wall of the true bowel and enteric cyst forming the colostomy orifice. Outcomes: After 40 days of postoperative care, the patient was discharged with no immediate complications. Four months after the initial operation, colostomy take-down and transanal rectal common wall division was done. No complications were observed. Lessons: To our knowledge, this is the first case to be reported where a rare presentation of intestinal duplication resulted in an acute presentation toxic megacolon. Such emergency cases can be effectively treated with emergency surgical bowel decompression and elective common wall division.

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Infected enteric duplication cyst

Cited by 11 publications

References 3 publications

Enteric duplication cysts in children: varied presentations, varied imaging findings

Enteric duplication cysts in children: varied presentations, varied imaging findings

Rare presentation of infected duplication cyst in an adult

Communicating multiple tubular enteric duplication with toxic megacolon in an infant

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