Thoraco-Abdominal duplication cyst- role tc-99m pertechnetate spect-ct scintigraphy in localising ectopic gastric mucosa

Ravina, Mudalsha; Datta, Deepanksha; Rangan, Kasturi; Suraj, Ajay Singh; Gambhir, Sanjay

doi:10.4103/0972-3919.198486

Cited by 4 publications

(1 citation statement)

References 6 publications

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“…In the context of gastrointestinal bleeding, Tc-99m pertechnetate radionuclide scan is liable to discern the heterotopic gastric mucosa, which aids in the discrimination of Meckel's diverticulum from a duplication when locating on the antimesenteric border of the small bowel, with an up to 75% sensitivity. [ 37 ] Nonetheless, it is worth noting that heterotopic gastric mucosa does emerge in only 20% to 30% of duplication cysts, [ 38 ] which dramatically limits the detectable usefulness of isotope studies. [ 39 ] Enhanced CT scan is a more common and desirable imaging tool, offering further characteristics of the lesion along with delineation of the surrounding structures, [ 33 ] which most likely indicates the necessity of immediate management.…”

Section: Discussionmentioning

confidence: 99%

A huge completely isolated duplication cyst complicated by torsion and lined by 3 different mucosal epithelial components in an adult

Jin-Jing²,

Li-Chen³

et al. 2018

Medicine

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Rationale:Intestinal or enteric duplication (ED) does exit as a rare congenital malformation of the gastrointestinal system clinically. It is a separate entity, but can be communicated with the gastrointestinal tract. It is characterized by a well-developed muscular wall and lumen endowed with ectopic mucosa, simulating a portion of normal bowel. A completely isolated duplication cyst (CIDC) refers to an extremely uncommon variant of ED, which is secluded from the alimentary tract and possesses its own exclusive blood supply. Surgical procedure is the treatment of choice, because most often, a definitive diagnosis can only be confirmed intraoperatively.Patient concerns:A 20-year-old male patient presented with a 10-day history of intermittent episodes of abdominal pain. The pain evolved from dull into progressive and intolerable, accompanied by vomiting, nausea, and abdominal distention.Diagnoses:Closed-loop small-bowel obstruction with volvulus.Interventions:The patient underwent an emergency exploratory laparotomy.Outcomes:A huge CIDC was observed upon operation, which was affixed to the mesentery with only a narrow base, just like a pedicle; 720° counterclockwise twisting around its base was definitely noted, provoking the compromised blood supply. Complete excision of the cyst was performed along its base safely without violating the intestinal tract. Furthermore, the ectopic mucosa of the cyst exhibited 3 different epithelial lining components histopathologically.Lessons:Clinicians should be aware of the possibility of the existence of a duplication and raise a high index of suspicion in case of equivocal diagnosis, particularly in adult population. A low threshold for surgical management should be recommended in order to prevent lethal outcomes.

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Section: Discussionmentioning

confidence: 99%

A huge completely isolated duplication cyst complicated by torsion and lined by 3 different mucosal epithelial components in an adult

Jin-Jing²,

Li-Chen³

et al. 2018

Medicine

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Development and deployment of 141Ce fiducial marker sources for supplementing nuclear diagnostic procedures

Saxena

Kumar

Bamankar

et al. 2020

J Radioanal Nucl Chem

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Thoracoabdominal duplication accompanied by intestinal malrotation: a case report and literature review of a rare congenital anomaly in an infant

Mashlah,

Al Laham,

Odah Bashi

et al. 2024

Annals of Medicine &Amp; Surgery

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Introduction and Importance: Thoracoabdominal duplication and intestinal malrotation are extremely rare congenital alimentary tract anomalies that can manifest in any segment of the gastrointestinal tract. Still, tubular duplications are an even rarer subset of alimentary tract duplications. Misdiagnosis could occur and this will yield devastating ramifications. Therefore, consideration in the clinical settings is warranted to aid in conducting timely therapeutic interventions. Case Presentation: In this article, we illustrate the overwhelmingly rare occurrence of thoracoabdominal duplication coexistent with intestinal malrotation in a 7-month-old male whose primary complaint was chronic dyspnea since birth that progressed to involve cough and fever. Imaging analysis revealed a significant intrathoracic fluid-filled cyst. Clinical Discussion: The intestinal malrotation was treated through Ladd’s procedure, and surgical excision of the duplicated segments was accomplished. The subsequent analysis of the resected specimens via means of histopathology utilizing Hematoxylin and Eosin dyes established the definitive diagnosis of a foregut duplication cyst. Conclusion: Thoracoabdominal duplication is one of the most crucial topics in the field of Pediatric Surgery. It is exceptionally rare in occurrence, and the scarcity of available resources that document and describe this topic is evident in the published literature. We must opt to document, study, and broaden awareness regarding this life-threatening pathology so that we can circumvent the resultant complications by means of early detection and the performance of apt surgical interventions. Upon careful review of the available literature, we can state that ours is the first-ever case documented from our country regarding this topic and this co-incidence.

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Thoraco-Abdominal duplication cyst- role tc-99m pertechnetate spect-ct scintigraphy in localising ectopic gastric mucosa

Cited by 4 publications

References 6 publications

A huge completely isolated duplication cyst complicated by torsion and lined by 3 different mucosal epithelial components in an adult

A huge completely isolated duplication cyst complicated by torsion and lined by 3 different mucosal epithelial components in an adult

Development and deployment of 141Ce fiducial marker sources for supplementing nuclear diagnostic procedures

Thoracoabdominal duplication accompanied by intestinal malrotation: a case report and literature review of a rare congenital anomaly in an infant

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