Prenatal diagnosis and postnatal resection of intraabdominal enteric duplications

Laje, Pablo; Flake, Alan W.; Adzick, N. Scott

doi:10.1016/j.jpedsurg.2010.03.017

Cited by 89 publications

(72 citation statements)

References 14 publications

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“…Peristaltic muscular contractions of the cyst wall are highly suggestive of an intestinal origin of the cyst. Antenatal diagnosis of duplication cyst is suggested by some authors but it is difficult [5]. In our study one patient presented with antenatal USG which was suggestive of lump in mid abdomen.…”

Section: Discussionmentioning

confidence: 60%

Neonatal Intestinal Obstruction: When to Suspect Duplication Cyst of Bowel as the Cause

2016

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Background: Duplication cyst is a rare cause of neonatal intestinal obstruction. Their most common location is the small intestine. The clinical presentation is extremely variable depending upon its size, location and type and the age of the patient and are mainly encountered during infancy or early childhood. The diagnosis is very difficult in neonates. This study was undertaken to study their presentation, diagnostic modality of choice and further management in neonatal age group.

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Section: Discussionmentioning

confidence: 60%

Neonatal Intestinal Obstruction: When to Suspect Duplication Cyst of Bowel as the Cause

2016

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“…El diferir el tratamiento quirúrgico puede facilitar las técnicas mínimamente invasivas. 15 n BIBLIOGRAFÍA…”

Section: Discussionunclassified

Duplicación quística intestinal. Caso clínico

et al. 2017

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Presentación de casos clínicos RESUMENLas duplicaciones intestinales quísticas son anomalías congénitas infrecuentes, con incidencia de 1:4500 autopsias y etiopatogenia incierta. Son estructuras quísticas, tubulares o diverticulares revestidas de mucosa gastrointestinal con pared de músculo liso, adheridas al tracto gastrointestinal, pero no suelen comunicar con la luz intestinal. Los quistes de duplicación gástrica representan el 7-9% de los quistes de duplicación intestinal. Pueden diagnosticarse intraútero mediante ecografía y la resonancia magnética fetal permite caracterizar el quiste y descartar patologías concomitantes. La ecografía posnatal revela una imagen quística de "doble pared". Los neonatos suelen permanecer asintomáticos, pero pueden presentar desde síntomas gastrointestinales inespecíficos hasta síntomas de obstrucción por efecto masa, torsión o infección. En pacientes asintomáticos, se aconseja el seguimiento clínico y estudios de imagen periódicos. El tratamiento es la resección quirúrgica electiva, de manera preferente, con técnicas mínimamente invasivas. Se presenta un caso con sospecha prenatal de quiste de duplicación enteral. Palabras clave: recién nacido, anomalías congénitas, anomalías del sistema digestivo, quistes, ultrasonografía fetal. ABSTRACTIntestinal cystic duplications are rare congenital anomalies, with an estimated incidence of approximately 1:4500 autopsies. The etiopathogenesis is uncertain. These duplications are cystic, tubular or diverticular structures lined with gastrointestinal mucosa. They share a common smooth muscle wall with the gastrointestinal tract but usually their lumens do not communicate with each other. Gastric duplication cysts represent 7-9% of the gastrointestinal tract duplication. They can be diagnosed prenatally by fetal ultrasound; magnetic resonance imaging characterizes the cyst and excludes other malformations. Postnatal ultrasound shows a characteristic double walled cyst. Newborns are usually asymptomatic, although nonspecific gastrointestinal symptoms, intestinal obstruction due to mass effect, volvulus or infection are described. In asymptomatic patients, clinical follow-up and Duplicación quística intestinal. Caso clínicoIntestinal cystic duplication. Case report periodic image controls are recommended. Elective surgical resection is the treatment of choice, using minimally invasive technique whenever possible. A case of prenatally suspected intestinal cystic duplication is presented.

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“…Duplications at the IC junction are a particular entity, not clearly identified in all the reported series [5][6][7][8] and generally included into the ileal duplications [9]. Only few Authors described the IC type, for which the operative approach consisted of segmental resection with primary reanastomosis [10,11].…”

Section: Discussionmentioning

confidence: 99%

Ileocecal duplication cysts: Is the loss of the valve always necessary?

Catalano¹,

Pace²,

Caruso³

et al. 2014

Journal of Pediatric Surgery

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Background: Ileocecal (IC) duplication cysts are enteric duplications located at the IC junction, not clearly identified in all the published series. The reported treatment is IC resection and ileocolic anastomosis. It is well known that the loss of the IC valve has several adverse effects. This study is aimed at demonstrating that cyst removal together with the common ileal wall and following enterorrhaphy is possible, safe, and effective in preserving the IC region. Methods: Medical records of 3 patients who underwent surgery for IC duplication between 2003 and 2013 were retrospectively reviewed evaluating follow-up results. Results: All patients had an antenatal diagnosis of intraabdominal cystic mass. In two cases associated malformations were reported. The lesions presented at newborn age with intermittent small bowel obstruction and required removal. No patients underwent IC resection. The diagnosis of duplication cyst was confirmed by histo-pathologic examination. The postoperative course was uneventful, even in the long-term follow-up. Conclusions: Our conservative approach is a simple and safe technique, effective in avoiding the loss of the IC valve in children with duplication at the IC junction.

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Prenatal diagnosis and postnatal resection of intraabdominal enteric duplications

Cited by 89 publications

References 14 publications

Neonatal Intestinal Obstruction: When to Suspect Duplication Cyst of Bowel as the Cause

Neonatal Intestinal Obstruction: When to Suspect Duplication Cyst of Bowel as the Cause

Duplicación quística intestinal. Caso clínico

Ileocecal duplication cysts: Is the loss of the valve always necessary?

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