Enteric Duplication Cyst in a One-year-old Child: A Case Report
Enteric duplication cysts are rare congenital anomalies of the gastrointestinal tract, predominantly occurring in the ileum, although they can present in various locations, such as the retroperitoneum. These cysts may contain heterotopic tissues and can mimic other cystic lesions of the pancreas and...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2025-05-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/21005/78370_CE[Ra1]_F(SS)_QC(PS_SS)_PF1(VD_KR)_redo_PFA(IS)_PN(IS).pdf |
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| Summary: | Enteric duplication cysts are rare congenital anomalies of the gastrointestinal tract, predominantly occurring in the ileum, although they can present in various locations, such as the retroperitoneum. These cysts may contain heterotopic tissues and can mimic other cystic lesions of the pancreas and peripancreatic region, posing diagnostic challenges. Hereby, the authors present a case of a one-year-old male child who presented with acute epigastric abdominal pain, vomiting, and fever. Clinical examination revealed a palpable epigastric mass. Ultrasonography (USG) and Contrast-enhanced Computed Tomography (CECT) demonstrated a large, multiloculated cystic lesion in the retroperitoneum, anterior to the pancreas, causing extrinsic gastric compression. Exploratory laparotomy revealed a thick-walled cystic mass adherent to the coeliac artery and splenic vessels, which was completely excised. Histopathological examination confirmed an enteric duplication cyst with a hamartomatous component, comprising multiple epithelial types, pancreatic acini, smooth muscle tissue, and arteriovenous malformations. The present case highlights the importance of considering enteric duplication cysts in the differential diagnosis of retroperitoneal cystic lesions in infants. Complete surgical excision is crucial to prevent potential complications such as infection, perforation, or malignant transformation. |
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| ISSN: | 2249-782X 0973-709X |