Abstract:A duodenal duplication cyst containing enteroliths in an adult patient is presented. The preoperative diagnosis was established by computed tomographic (CT) and ultrasound (US) examinations. To the best of our knowledge this is the first description of enteroliths in a duodenal duplication cyst.
“…Veryfew cases have been reported. A duodenal duplication cyst containing uric acid enteroliths has been reported by Bar-Ziv J et al [10]. Secondly this enterolith was not associated with any stricture, inflammation or diverticulum.…”
Enterolith is a rare clinical entity that may be found on imaging or at surgery. We report an unusual case of intestinal obstruction caused by a large uric acid containing enterolith which was formed in the absence of any bowel inflammation, stricture or diverticulum.
“…Veryfew cases have been reported. A duodenal duplication cyst containing uric acid enteroliths has been reported by Bar-Ziv J et al [10]. Secondly this enterolith was not associated with any stricture, inflammation or diverticulum.…”
Enterolith is a rare clinical entity that may be found on imaging or at surgery. We report an unusual case of intestinal obstruction caused by a large uric acid containing enterolith which was formed in the absence of any bowel inflammation, stricture or diverticulum.
“…Blake described the beak sign, which enabled a confident preoperative diagnosis in four infants [20]. Contrast enhanced CT provides an accurate definition of the cyst and its relations [2,21]. Magnetic resonance imaging [22] and magnetic resonance cholangiopancreatography [23] have also been utilised.…”
A 11-month-old boy presented with a 4-month history of failure to thrive. His initial presentation was highlighted by fever, postprandial abdominal pain and lethargy. The diagnosis was elusive despite extensive investigations. A contrast enhanced abdominal computerised tomogram (CT) suggested the presence of a pancreatic pseudocyst. At laparotomy, a lesser sac collection was drained and the patient's general condition improved. Three weeks postoperatively, the symptoms recurred and a second contrast enhanced abdominal CT revealed a duodenal duplication cyst. A 6.5-cm duodenal duplication cyst communicating with the fourth part of the duodenum was resected in its entirety with resolution of the patients' symptoms and establishment of adequate growth.
“…We found eight cases of calcification in alimentary tract duplication in the English literature [9,[20][21][22][23][24]. In five cases, calcification was seen in the wall [9,[20][21][22]; in three cases, enteroliths were seen in the lumen [22][23][24].…”
We report the computed tomographic findings of mucinous adenocarcinoma with calcification arising from duplication cyst of the colon in two adult cases. In both cases, serum levels of carcinoembryonic antigen (CEA) were high. Differential diagnosis of intraperitoneal or retroperitoneal cystic tumors with mucinous density includes duplication cyst, and its malignant change should be considered when serum level of CEA is high.
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