Duplication cyst of the ileum presenting with severe anemia detected by double-balloon endoscopy

Takegawa, Yumi; Hiramatsu, Katsushi; Murata, Yoshinori; Akazawa, Yu; Saitō, Yasushi; Ozaki, Yoshihiko; Takahashi, Kazuto; Naito, Tateaki; Ofuji, Kazuya; Matsuda, Hidetaka; Ohtani, Masahiro; Nemoto, Tomoyuki; Suto, Hiroyuki; Goi, Takanori; Imamura, Yoshiaki; Nakamoto, Yasunari

doi:10.1055/s-0043-125142

Cited by 7 publications

(8 citation statements)

References 9 publications

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“…They can be diagnosed in ultrasound antenatally in the early weeks of gestation [9]. DC could be found at any segment along the digestive tract from the oral cavity to the anus [10], it occurs most commonly in the distal ileum, followed by the colon, esophagus, stomach then the duodenum [11]. Depending on its size, location, and the kind of epithelial lining, it can cause a wide range of digestive symptoms; clinical manifestations include mild stomach pain, nausea, vomiting, and abdominal mass to serious symptoms such as gastrointestinal ulcerations, bleeding, or anemia; It could also be revealed due to complications such as bowel obstruction, perforation, or peritonitis [6].…”

Section: Discussionmentioning

confidence: 99%

Isolated Enteric Duplication Cyst: A Rare Congenital Anomaly

Gupta,

Goel,

Dahiya

2024

Int J Health Sci Res

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Introduction: Gastrointestinal tract duplications are uncommon congenital abnormalities, commonly present as cysts. By definition, they are located in or adjacent to the wall of part of the gastrointestinal tract, have smooth muscle in their walls, and are lined by alimentary tract mucosa. Duplication Cysts are most commonly located in the distal ileum; sometimes, they are associated with other visceral or skeletal anomalies. They are frequently discovered during childhood, following a bowel obstruction or abdominal pain. Materials and methods: A 19-day-old Indian boy presented with abdominal distension and a chief complaint of regurgitation of feeds since birth. Contrast-enhanced computed tomography showed a large hypodense cystic lesion in an abdominal cavity. Results: Surgical exploration and pathologic specimens resulted in the diagnosis of an isolated enteric(ileal) duplication cyst. Discussion: An enteric duplication cyst must be ruled out for repeated episodes of feeding regurgitation, especially in an infant. Diagnosing this case was challenging, and imaging tests could not identify whether the mass was in the retroperitoneum or the anterior peritoneum. For such cases, surgical exploration is necessary to make a definitive histopathological diagnosis of this rare congenital anomaly as it can present in various clinical forms. It can cause significant morbidity and even mortality if left untreated by causing life-threatening complications. Key words: congenital, duplication cysts, surgical exploration, histopathological

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Section: Discussionmentioning

confidence: 99%

Isolated Enteric Duplication Cyst: A Rare Congenital Anomaly

Gupta,

Goel,

Dahiya

2024

Int J Health Sci Res

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“…They develop between the fourth and eighth week of gestation, and they rarely cause any trouble antenatally [ 2 ]. DC could be found at any segment along the digestive tract from the oral cavity to the anus [ 3 ], it occurs most commonly in the distal ileum, followed by the colon, esophagus, stomach then the duodenum [ 4 ]. It is responsible for a wide variety of digestive symptoms, depending on its size, location, and the nature of its epithelial lining; clinical manifestations range from mild abdominal pain, nausea, vomiting, and abdominal mass to serious symptoms such as gastrointestinal ulcerations, hemorrhage, or anemia; It could also be revealed by complications including bowel obstruction, perforation, or peritonitis [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

Unusual Presentation of an Ileal Duplication Cyst: A Case Report

Miry¹,

Karich²,

Bakhti³

et al. 2023

Cureus

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Duplication cyst (DC) of the digestive tract is a rare embryological anomaly, presenting as a cystic formation that could be attached to any part of the digestive tract, it is a thin-walled structure made of two layers, an inner layer that is frequently lined by an alimentary epithelium, surrounded by a smooth muscle layer often shared with the adjacent digestive segment. DCs are most commonly located in the distal ileum; sometimes, they are associated with other visceral or skeletal anomalies. They are frequently discovered during childhood, following a bowel obstruction or abdominal pain. Here we report a rare case of an ileal DC lined by a pseudostratified and ciliated epithelium, discovered in an adult patient following intestinal obstruction syndrome.

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“…DBE exhibits higher specificity for the tubular type in the diagnosis of intestinal duplication but plays a minor role for the parenteral cystic type (12). A double-lumen opening or diverticulum-like orifice of the bowel might be observed during DBE examination of the tubular type (4,13,14). Thus, a suspected diagnosis of intestinal duplication could be made.…”

Section: Discussionmentioning

confidence: 99%

A rare cause of gastrointestinal bleeding in adults: Ileal duplication with ulceration: A case report and review of literature

Chen

et al. 2022

Front. Surg.

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The ileal duplication, which is a congenital anatomical abnormality of the digestive tract, can lead to the manifestation of the alimentary tract duplication in the small intestine. It is also the rare cause of gastrointestinal bleeding and usually seen in infants, but only rarely in adults. Herein, we describe a case of adult male was suffering from intermittent massive hematochezia for three years, accompanied by abdominal pain, syncope, and palpitations. However, no positive findings were found by gastroscopy and colonoscopy in other hospitals. He visited our hospital owing to the recurrent hematochezia, but re-examination by gastroscopy and colonoscopy indicated no significant abnormality, and hence small intestinal vascular malformation bleeding was considered. Therefore, double-balloon enteroscopy (DBE) examination was conducted and the results revealed a double-lumen opening in the ileum, which was 100 cm from the ileocecal valve. The blind end was observed 6 cm away from one opening along the depth direction, and an ulcer was observed on the intestinal wall of the blind segment, which was considered as an ileal duplication. The patient thereafter underwent surgery subsequently. Postoperative pathology confirmed ileal duplication and that gastrointestinal bleeding was primarily caused by ulcer hemorrhage. The patient had no discomfort after the follow-up. In this report, we have reviewed and summarized the literature to provide references for both diagnosis and treatment of ileal duplication.

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Duplication cyst of the ileum presenting with severe anemia detected by double-balloon endoscopy

Cited by 7 publications

References 9 publications

Isolated Enteric Duplication Cyst: A Rare Congenital Anomaly

Isolated Enteric Duplication Cyst: A Rare Congenital Anomaly

Unusual Presentation of an Ileal Duplication Cyst: A Case Report

A rare cause of gastrointestinal bleeding in adults: Ileal duplication with ulceration: A case report and review of literature

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