Neonatal intestinal obstruction secondary to a small bowel duplication cyst

Abstract

A 3-week-old neonate developed abdominal distension and vomiting which subsided after conservative management. However, there was a recurrence of symptoms for which a lower gastrointestinal tract contrast study was performed. The infant had a filling defect in the area of the transverse colon. A CT scan was performed, showing a duplication cyst arising from the small bowel and indenting the transverse colon. Resection of the duplication cyst and end-to-end anastomosis of the bowel was performed. The duplication cyst was of tubular type, and a sealed perforation was noted in the cyst wall.

Caecal duplication cyst: a rare cause of neonatal intestinal obstruction

“…Preoperative diagnosis of enteric duplication cyst in neonatal intestinal obstruction may be difficult11 and it is often made during laparotomy. The most common imaging modalities to diagnose duplication cysts are ultrasonography and Barium studies, whereas CT and MRI are less often used 8.…”