Laparoscopic approach to non-communicating intestinal duplication cyst in adult

Tufiño, Jorge F; Espin, Darwin S; Moyón, Miguel A; Moyon, Fernando X; Cevallos, Jaime M; Guzmán, L; Molina, Gabriel A

doi:10.1093/jscr/rjy061

Cited by 3 publications

(3 citation statements)

References 10 publications

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“…26,28 The prognosis for digestive duplications is generally excellent if complete resection of the duplication is achieved. 21,[26][27][28][29] However, incomplete resection of the duplication leads to recurrence of clinical signs, which has been documented in two cases in the veterinary literature. 10,15 The most commonly described surgical technique consists of laparotomy-based procedures: marginal mass resection (debulking), or through enterotomies or enterectomies (en bloc removal).…”

Section: Introductionmentioning

confidence: 99%

Rectal duplication in an adult cat: a novel transanal surgical approach

Buj¹,

Billet²,

Vanel³

et al. 2020

Journal of Feline Medicine and Surgery Open Reports

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Case summary A 3-year and 8-month-old male entire European domestic shorthair cat was presented with a history of recurrent rectal prolapse, straining and pain when defaecating. Previous non-surgical and surgical treatments had not provided a satisfactory result. Rectal prolapse had recurred within 2 weeks of treatment. Upon clinical examination, an intraluminal mass could be palpated rectally. A CT scan examination revealed the mass was of a cystic nature and the cyst was surgically excised via a transanal approach. On histological evaluation, the cyst walls consisted of three of the layers of normal rectum: mucosa, muscularis of the mucosa and submucosa. These findings led to the definite diagnosis of rectal duplication. Relevance and novel information Enteric duplication is among the differential diagnoses for straining and rectal prolapse in cats. This condition has previously been discussed in the veterinary literature, with a single case report describing a rectal duplication in a cat. In that particular case, the authors described a perineal surgical approach. Here we present a novel approach whereby the duplicated material was excised transanally in order to limit intra- and postoperative morbidity. The clinical outcome was excellent in our case, with complete resolution of clinical signs and no recurrence 18 months after surgery.

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Section: Introductionmentioning

confidence: 99%

Rectal duplication in an adult cat: a novel transanal surgical approach

Buj¹,

Billet²,

Vanel³

et al. 2020

Journal of Feline Medicine and Surgery Open Reports

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“…Cystic and tubular duplication are the two common types of colonic duplication[ 9 , 10 ]. Cystic duplication is the most common type; only 20% of colonic duplications are tubular[ 11 ], which can be further divided into T- and Y-shaped duplications[ 12 ].…”

Section: Discussionmentioning

confidence: 99%

Successful management of tubular colonic duplication using a laparoscopic approach: A case report and review of the literature

Li¹,

Han²,

Wang³

et al. 2020

WJCC

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BACKGROUND Alimentary duplication is a rare congenital disease with a reported incidence of 1 per 4500 persons, although the exact incidence has been difficult to ascertain. According to previous reports, the most common site of duplication is the ileum, and colonic duplication is rare. Due to different types and locations of the duplication, the manifestations are varied, which makes establishing an accurate diagnosis before surgery a challenge. CASE SUMMARY A 17-year-old female patient sought evaluation in our department with constipation and chronic abdominal pain for 12 years; she had difficulty defecating and had dry stools since she was a child. An abdominal computed tomography revealed two extremely enlarged loops of bowel full of stool-like intestinal contents in the left lower abdomen, which led us to consider the possibility of colonic duplication. A laparoscopic exploration was performed, which revealed a tubular duplicated colon that shared a common opening with the transverse colon. A left hemi-colectomy was performed with a side-to-side anastomosis. The pathologic results confirmed the diagnosis. At the 6-mo follow-up, the patient was doing well without constipation or abdominal pain. CONCLUSION Colonic duplication is a rare alimentary abnormality in adults. Due to the non-specific manifestations and low incidence, it is usually difficult to make an accurate diagnosis pre-operatively. Surgery is the mainstay of treatment, even though some patients are asymptomatic.

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“…Tufiño et al have treated a duplication cyst attached to the cecum and the ascending colon with a laparoscopic approach. They claim laparoscopic right hemicolectomy for duplication cyst, as for malignancies, has the advantages of minimal invasion, faster recovery, and a lower rate of wound infection, and it can achieve the same degree of radicality and prognosis as open right hemicolectomy [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

A rare case of acute abdomen in the adult: The intestinal duplication cyst. case report and review of the literature

Ricciardolo

Iaquinta

et al. 2019

Annals of Medicine and Surgery

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IntroductionDuplications of the gastrointestinal tract are rare congenital anomalies that can occur anywhere throughout the gastrointestinal tract. The reported incidence is 1/4500, and more than 80% occurs before the age of two as an acute abdomen or bowel obstruction. The most common site is Ileum (60%), while the colonic localisation is reported between 4 and 18%.Presentation of the caseHerein we report the case of a 35-year-old man, presented at the Emergency Department with fever and localised abdominal pain in the right iliac fossa. Preoperative abdominal ultrasound and CT scan showed a cystic mass of 44 × 43 × 70 mm adjoining the posterior wall of the right colon. He underwent explorative laparoscopy, laparotomy conversion, right hemicolectomy with an intra-operative diagnosis of colonic duplication cyst, confirmed by histology.DiscussionThe review of the literature showed as the intestinal duplication cysts are rare congenital anomalies. The clinical presentation is variable and depends on the site and the related complications. A surgical approach based on the resection of the involved bowel tract is the treatment associated with the best long-term outcomes.ConclusionIt is important to include intestinal duplication in the differential diagnosis of acute abdomen, to ensure the best therapeutic strategy.

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Laparoscopic approach to non-communicating intestinal duplication cyst in adult

Cited by 3 publications

References 10 publications

Rectal duplication in an adult cat: a novel transanal surgical approach

Rectal duplication in an adult cat: a novel transanal surgical approach

Successful management of tubular colonic duplication using a laparoscopic approach: A case report and review of the literature

A rare case of acute abdomen in the adult: The intestinal duplication cyst. case report and review of the literature

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