Duplication cyst with midgut volvulus in a neonate: an unusual presentation

Pai, Nitin; Prabhu, Santosh; P, Pavithra; Kumar, Vijay

doi:10.1136/bcr-2020-235526

Cited by 5 publications

(2 citation statements)

References 9 publications

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“…This may occur due to the presence of heterotopic gastric mucosa, which is present in about 40% of esophageal duplications, one-third of small bowel duplications, and less than 10% of colorectal duplications. [10] In this case, although there was a simple cyst adjacent to the stomach, no melena or intestinal obstruction was observed.…”

Section: Discussionmentioning

confidence: 57%

Multiple isolated enteric duplication cysts in newborn: An unusual cause of sepsis

Kılıç,

Tutar,

Fatih Şanlı

2023

Turkish J Ped Surg

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Gastrointestinal duplication cysts are uncommon congenital anomaly that may occur anywhere throughout the gastrointestinal system from the mouth to the anus. While cysts occur usually in the small bowel, the stomach ranks third after the small intestine and esophagus. As these cysts may be complicated by infection and other complications such as bleeding or obstruction, they should be treated with complete excision before the symptoms start. Although duplication cysts more often cause symptoms related to signs of obstruction, they may also present with clinical sepsis. In this article, we present a newborn case with a large duplication cyst adjacent to the ileum and the greater curvature of the stomach and a second simple cyst under the liver.

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Section: Discussionmentioning

confidence: 57%

Multiple isolated enteric duplication cysts in newborn: An unusual cause of sepsis

Kılıç,

Tutar,

Fatih Şanlı

2023

Turkish J Ped Surg

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“…GI tract obstruction remains one of the most frequent causes of postnatal admission to pediatric surgery units, with the most common causes being anorectal malformations, esophageal obstruction, and duodenal obstruction, with incidence rates hovering at 41%, 24%, and 20%, respectively [ 6 ]. A myriad of underlying etiologies can culminate in intestinal obstruction.…”

Section: Discussionmentioning

confidence: 99%

Cystic Nontubular Jejunal Duplication Cyst Presenting As Acute Intestinal Obstruction: A Surgical Challenge

Syed¹,

Faqeeh²,

Almas³

et al. 2021

Cureus

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Enteric duplication cysts are rare congenital anomalies that present with a vague constellation of symptoms such as vomiting and abdominal distension. Of these, cystic nontubular jejunal duplication cysts comprise an exceedingly small subset. Here, we delineate the case of a two-month-old female baby who presented with symptoms suggestive of acute intestinal obstruction. Radiological workup divulged a cystic lesion, which was subsequently confirmed to be a cystic nontubular jejunal duplication cyst with extensive intestinal wall sharing. Surgical excision was planned but posed a remarkable surgical challenge due to intestinal wall sharing and the cyst's exceedingly fibrotic nature.

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Ileocecal duplication in children: a single-center experience of 115 cases

et al. 2022

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Purpose To evaluate the clinical features, surgical management, and prognosis of ileocecal duplication in children.Methods A total of 115 patients diagnosed with ileocecal duplication at Beijing Children's Hospital between January 2010 and June 2021 were retrospectively reviewed. Ileocecal duplications were divided into ileal extraluminal (n = 24), ileal intraluminal (n = 41), ileocecal valve (n = 11), cecal extraluminal (n = 3), and cecal intraluminal (n = 18) types according to their locations.Results Mean age at diagnosis was 9.5 (0.1-169.2) months. Intussusception was only observed preoperatively in patients with the ileal intraluminal (8/41), ileocecal valve (4/11), and cecal intraluminal (7/18) types (P=0.004). Ileocecal resection and ileocolostomy, and cyst excision were performed in 41 (35.7%) and 74 (64.3%) patients, respectively. The proportions of cyst excision performed in patients with different types were 91.7% (22/24), 78.0% (32/41), 27.3% (3/11), 100.0% (3/3), and 27.8% (5/18) (P 0.001). Mean time of oral intake and hospital stay after surgery were signi cantly shorter in patients undergoing cyst excision (P=0.003; P 0.001). There were no signi cant differences in the complications, growth, and stool frequency (older than 4 years) between patients undergoing different surgical procedures. Regarding the stool consistency (older than 4 years), there was a lower proportion of dry stool in patients undergoing cyst excision (P=0.008).Conclusions Ileocecal duplications at speci c locations are prone to intussusception and can in uence the surgical procedure choice. At mid-term follow-up, the children's growth and defecation patterns do not seem to be affected by ileocecal resection. What Is KnownHow to address ileocecal duplication has always been challenging in clinical management.Children who have an ileocecal resection can develop some early postoperative complications.What is New: Ileocecal duplications at speci c locations are prone to intussusception and can in uence the surgical procedure choice.Children's mid-term growth and defecation patterns are not affected by ileocecal resection.

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Duplication cyst with midgut volvulus in a neonate: an unusual presentation

Cited by 5 publications

References 9 publications

Multiple isolated enteric duplication cysts in newborn: An unusual cause of sepsis

Multiple isolated enteric duplication cysts in newborn: An unusual cause of sepsis

Cystic Nontubular Jejunal Duplication Cyst Presenting As Acute Intestinal Obstruction: A Surgical Challenge

Ileocecal duplication in children: a single-center experience of 115 cases

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