Colonic Duplication Cyst in an Adult Woman: A Case Report

Abstract

Intestinal duplications are rare congenital anomaly found in pediatric age group. Although, ileum is the most common site, there are cases of colonic duplications even in the adult. We report a case of 43 years woman presented with chronic constipation, intermittent colicky abdomen pain and a cystic lump in left abdomen diagnosed as tubular duplication cyst of descending colon. Colonoscopy is a good investigation tool for diagnosis of colonic duplications; however, it may not be true in all cases. She was managed with left hemicolectomy and excision of cyst with uneventful post-operative days. This case has been reported because of rarity of this condition.

Duplication of the transverse colon in adults: a case report and literature review

“…There is a lack of unified diagnostic and treatment criteria for transverse colonic repetitive malformations. 12 cases were diagnosed using abdominal multirow CT ( 12 , 13 , 15 – 18 , 20 – 24 , 26 ), 8 cases using digitized barium enema colography ( 13 , 14 , 17 – 19 , 22 , 23 , 25 ), and colonoscopy in 4 cases ( 19 , 20 , 25 , 26 ), 8 cases using US ( 13 – 16 , 18 , 20 – 22 ) and 2 cases using plain X-ray ( 16 , 18 ). Because the symptoms of repeat transverse colon malformations in adults are mostly nonspecific, clinical diagnosis is difficult.…”

“…Based on the literature at home and abroad to clear diagnosis of adult transverse repeat deformity in 16 cases and 1 case analysis, this paper in order to improve the understanding of the disease (Table 2) (12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26). Two main theories explain the pathogenesis of repetitive malformations in the transverse colon.…”

Colonic Duplication Cyst with Gastric Heterotopia Haemorrhage and Mucosal Ulceration: A Case Report

“…DC might be of 2 types, e.g. cystic duplications which might occur in 80% cases and tubular elongated DC which might be found in 20 % of cases [3] . Duplication cyst primarily occurred as a congenital anomaly of pediatric age group (<2 years).…”

Successful treatment of a colonic cyst by endoscopic aspiration and sclerotherapy

“…Colonic cysts are benign lesions associated with chronic constipation and abdominal pain 1 . However, colonic cysts must be surgically removed if they become large to prevent intestinal obstruction or intussusception 1 2 . Aspiration plus sclerotherapy is considered a safe and effective treatment for simple hepatic cysts 3 .…”

“…4, ▶ Video 1). Colonic cysts are benign lesions associated with chronic constipation and abdominal pain [1]. However, colonic cysts must be surgically removed if they become large to prevent intestinal obstruction or intussusception [1,2].…”