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Van Pham N, Van Mai D, Duong PDT, Lam HH, Ly HHV, Van Nguyen L. Duplication cyst in adult cases: a journey from diagnosis to treatment. J Surg Case Rep 2024; 2024:rjae460. [PMID: 39005640 PMCID: PMC11245703 DOI: 10.1093/jscr/rjae460] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2024] [Accepted: 07/03/2024] [Indexed: 07/16/2024] Open
Abstract
Duplication cysts are rare congenital abnormalities of the alimentary tract, typically manifesting symptoms in the first 2 years but uncommon in adults. Medical data on duplication cysts is scarce in Vietnam's Mekong Delta region. These two adult cases aim to provide fundamental knowledge, clinical characteristics, diagnosis, risks, complications, surgical and observational treatment methods, and future bilateral tumor research. Case 1: A 21-year-old male with intestinal obstruction symptoms. Computed tomography (CT)-scan revealed a strangulated small bowel obstruction with ischemia. Laparotomy discovered a twisted ileal duplication cyst causing necrosis in ~30 cm of the small intestine. Case 2: A 34-year-old woman hospitalized for right lower quadrant pain. CT-scan showed a cystic structure protruding into the ascending colon lumen. She underwent a laparoscopic right hemicolectomy, and an ascending colonic cyst was found in the specimen. Conclusions: Duplication cysts are rare anomalies, especially in adults. Comprehending and acquiring knowledge ensures prompt diagnosis and appropriate treatment.
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Affiliation(s)
- Nang Van Pham
- Department of General Surgery, Faculty of Medicine, Can Tho University of Medicine and Pharmacy, 179 Nguyen Van Cu Street, An Khanh ward, Ninh Kieu district, Can Tho 900000, Viet Nam
| | - Doi Van Mai
- Department of General Surgery, Faculty of Medicine, Can Tho University of Medicine and Pharmacy, 179 Nguyen Van Cu Street, An Khanh ward, Ninh Kieu district, Can Tho 900000, Viet Nam
| | - Phu Diep Thien Duong
- Department of General Surgery, Faculty of Medicine, Can Tho University of Medicine and Pharmacy, 179 Nguyen Van Cu Street, An Khanh ward, Ninh Kieu district, Can Tho 900000, Viet Nam
| | - Huan Hoang Lam
- Department of General Surgery, Faculty of Medicine, Can Tho University of Medicine and Pharmacy, 179 Nguyen Van Cu Street, An Khanh ward, Ninh Kieu district, Can Tho 900000, Viet Nam
| | - Hung Huynh Vinh Ly
- Department of General Surgery, Faculty of Medicine, Can Tho University of Medicine and Pharmacy, 179 Nguyen Van Cu Street, An Khanh ward, Ninh Kieu district, Can Tho 900000, Viet Nam
| | - Luan Van Nguyen
- Department of Pathology, Can Tho University of Medicine and Pharmacy, 179 Nguyen Van Cu Street, An Khanh ward, Ninh Kieu district, Can Tho 900000, Viet Nam
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Jaweesh S, Jaweesh M, Alokla H, Hadaya M, Aljmaz H, Mahgaa MT. A rare case of enteric duplication cyst in the cecum of a 7-year-old child: Case report. Int J Surg Case Rep 2024; 115:109205. [PMID: 38215578 PMCID: PMC10821623 DOI: 10.1016/j.ijscr.2023.109205] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2023] [Revised: 12/20/2023] [Accepted: 12/22/2023] [Indexed: 01/14/2024] Open
Abstract
INTRODUCTION AND SIGNIFICANCE Duplication of the digestive tract is a rare condition, especially when it is located in the cecum. In most cases, it is asymptomatic. The cystic pattern is the most common type of duplication of the digestive tract. The exact cause of this anomaly has not been determined yet. CASE PRESENTATION We present the case of a girl who was suffering from vague abdominal pain for a period of time without response to medical treatment. She was later diagnosed with a duplication cyst of the cecum, which was completely resected with a ileocolic anastomosis. CLINICAL DISCUSSION Surgery is generally the mainstay of treatment for duplication cysts of the digestive tract. Even in asymptomatic cases, surgical resection is preferred to avoid complications and the risk of malignant transformation. CONCLUSION It is always important to consider duplication of the digestive tract as a possible differential diagnosis for cysts in the cecum, and to avoid attempting to dissect the cyst away from the adjacent digestive tract.
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Affiliation(s)
- Shkri Jaweesh
- Faculty of Medicine, Al-Sham Private University, Damascus, Syria.
| | | | - Hasan Alokla
- Faculty of Medicine, Al-Sham Private University, Damascus, Syria
| | - Mahmoud Hadaya
- Faculty of Medicine, Al-Sham Private University, Damascus, Syria
| | - Hussien Aljmaz
- Faculty of Medicine, Al-Sham Private University, Damascus, Syria
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Kanbar M, Alomar K, Alkader MA, Alloun M, Al Dalati H, Alghazal LK. A unique case of complete tubular colonic duplication with normal anus accompanied by vestibular fistula in a 12 years _ old _ girl - A case report. Int J Surg Case Rep 2023; 108:108405. [PMID: 37352770 PMCID: PMC10382748 DOI: 10.1016/j.ijscr.2023.108405] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2023] [Revised: 06/08/2023] [Accepted: 06/08/2023] [Indexed: 06/25/2023] Open
Abstract
INTRODUCTION AND IMPORTANCE Duplication of the digestive system is one of the rare cases, which can vary in shape and size and is cystic in 80 % of cases. Most cases of duplication are often diagnosed before the age of two years. There are many ways to make the diagnosis, with computed tomography being the best, and duplication is often diagnosed during surgery. CASE PRESENTATION We present the case of a child suffering from complete duplication of colon with normal anus, accompanied by vestibular fistula with double urethra and vagina. The diagnosis was made at our hospital, the necessary surgery was performed, and a future plan for the child's condition was developed. CLINICAL DISCUSSION: a colonic duplication may be associated with malformations of other organs, and sometimes it may be associated with a vestibular or vaginal fistula. Therefore, we must evaluate patients for other anomalies when diagnosing a duplication. The most appropriate diagnostic method is CT, and surgery is recommended in symptomatic or asymptomatic patients. CONCLUSION When keeping in mind the possibility of a duplication of the digestive system, the surgeon helps to plan the surgery well, in addition to the importance of informing the parents of the possibility of eradication.
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Affiliation(s)
| | - Khaled Alomar
- Damascus University, University pediatrics' Hospital, Syria.
| | | | - Maher Alloun
- Damascus University, University pediatrics' Hospital, Syria
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Tirrell TF, Demehri FR, Lillehei CW, Borer JG, Warf BC, Dickie BH. Hindgut Duplication in an Infant with Omphalocele-Exstrophy-Imperforate Anus-Spinal Defects (OEIS) Complex. European J Pediatr Surg Rep 2022; 10:e45-e48. [PMID: 35282303 PMCID: PMC8913173 DOI: 10.1055/s-0041-1742154] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2020] [Accepted: 10/16/2020] [Indexed: 10/28/2022] Open
Abstract
Introduction The congenital anomaly of omphalocele, cloacal exstrophy, imperforate anus, and spinal abnormalities (OEIS complex) is rare but well recognized. Hindgut duplications are also uncommon and are not known to be associated with OEIS. We describe a neonate with OEIS who was found to have fully duplicated blind-ending hindguts. Case Report A premature infant boy with OEIS underwent first-stage closure on day of life 6, which included excision of the omphalocele sac, separation of the cecal plate and bladder halves, tubularization of the cecal plate, hindgut rescue with end colostomy, and joining of the bladder halves. Cecal plate inspection revealed two hindgut structures that descended distally, one descended midline into the pelvis along the sacrum and the second laterally along the left border of the sacrum. Both lumens connected to the cecal plate and had separate mesenteries. In an effort to maximize the colonic mucosal surface area, the hindgut segments were unified through a side-to-side anastomosis, creating a larger caliber hindgut. The cecal plate was tubularized and an end colostomy was created. Bowel function returned and he was discharged home on full enteral feeds. Discussion This case represents a cooccurrence of two extremely rare and complex congenital anomalies. The decision to unify the distinct hindguts into a single lumen was made in an effort to combine the goals of management for both OEIS and alimentary duplications. The hindgut is abnormal in OEIS and should be assessed carefully during repair.
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Affiliation(s)
- Timothy F Tirrell
- Department of Surgery, Boston Children's Hospital, Boston, Massachusetts, United States
| | - Farokh R Demehri
- Department of Surgery, Boston Children's Hospital, Boston, Massachusetts, United States
| | - Craig W Lillehei
- Department of Surgery, Boston Children's Hospital, Boston, Massachusetts, United States
| | - Joseph G Borer
- Department of Urology, Boston Children's Hospital, Boston, Massachusetts, United States
| | - Benjamin C Warf
- Department of Neurosurgery, Boston Children's Hospital, Boston, Massachusetts, United States
| | - Belinda H Dickie
- Department of Surgery, Boston Children's Hospital, Boston, Massachusetts, United States
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Radhakrishnan L, George J, Abraham LK. Right-Sided Colonic Duplication Cyst with a Malignant Twist in a Young Adult - a Case Report. J Gastrointest Cancer 2021; 53:805-808. [PMID: 34279795 DOI: 10.1007/s12029-021-00671-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/13/2021] [Indexed: 11/26/2022]
Affiliation(s)
| | - Joseph George
- Department of Surgical Gastroenterology, Rajagiri Hospital, Aluva, Kerala, India
| | - Latha K Abraham
- Department of Pathology, Rajagiri Hospital, Aluva, Kerala, India.
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Li GB, Han JG, Wang ZJ, Zhai ZW, Tao Y. Successful management of tubular colonic duplication using a laparoscopic approach: A case report and review of the literature. World J Clin Cases 2020; 8:3291-3298. [PMID: 32874984 PMCID: PMC7441256 DOI: 10.12998/wjcc.v8.i15.3291] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/26/2020] [Revised: 05/25/2020] [Accepted: 07/14/2020] [Indexed: 02/05/2023] Open
Abstract
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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Affiliation(s)
- Gan-Bin Li
- Department of General Surgery, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China
| | - Jia-Gang Han
- Department of General Surgery, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China
| | - Zhen-Jun Wang
- Department of General Surgery, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China
| | - Zhi-Wei Zhai
- Department of General Surgery, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China
| | - Yu Tao
- Department of General Surgery, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China
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Wu X, Xu X, Zheng C, Li B. Tubular colonic duplication in an adult: case report and brief literature review. J Int Med Res 2018; 46:2970-2975. [PMID: 29761727 PMCID: PMC6124274 DOI: 10.1177/0300060518773016] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022] Open
Abstract
Gastrointestinal tract duplication is a rare congenital anomaly that can occur anywhere along the alimentary tract. Most of the reported patients present with acute abdomen during childhood. We describe a case of tubular colonic duplication in an adult. The patient was a 25-year-old woman who presented with abdominal pain, bloating, nausea, and emesis for 3 days. The physical examination was remarkable for abdominal distension, tenderness, and rigidity. Abdominal computed tomography scan revealed abnormal intestinal dilatation. Exploratory laparotomy was performed, and tubular colonic duplication was identified intraoperatively. The diagnosis was verified by postoperative pathology results. The patient was discharged on postoperative day 14 and followed for 2 years without specific events or complications. Furthermore, we reviewed the published literature on colorectal duplication in adults for the past two decades.
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Affiliation(s)
- Xin Wu
- Department of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
| | - Xiequn Xu
- Department of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
| | - Chaoji Zheng
- Department of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
| | - Binglu Li
- Department of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
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Endoscopic Treatment of Colonic Duplication Cyst: A Case Report and Review of the Literature. Case Rep Gastrointest Med 2018; 2018:6143570. [PMID: 29666719 PMCID: PMC5831991 DOI: 10.1155/2018/6143570] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/13/2017] [Revised: 01/04/2018] [Accepted: 01/16/2018] [Indexed: 02/07/2023] Open
Abstract
Colonic duplication cysts are a rare congenital abnormality commonly presenting before two years of age. In adults, it has been rarely reported, most often as an incidental finding. We report a case of 42-year-old female complaining of constipation and lower abdominal pain. Patient's CT scan of the abdomen showed a cystic lesion at hepatic flexure and the diagnosis was confirmed endoscopically using endoscopic ultrasound (EUS). The cyst was treated employing hot snare to expose the cyst cavity. On our literature search, there have been no reported cases of colonic duplication cyst treated endoscopically. We here discuss incidence, diagnosis, characteristics, and treatment of duplication cysts with special emphasis on endoscopic therapy.
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Weitman E, Al Diffalha S, Centeno B, Hodul P. An isolated intestinal duplication cyst masquerading as a mucinous cystic neoplasm of the pancreas: A case report and review of the literature. Int J Surg Case Rep 2017; 39:208-211. [PMID: 28854411 PMCID: PMC5575442 DOI: 10.1016/j.ijscr.2017.08.030] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2017] [Revised: 08/09/2017] [Accepted: 08/09/2017] [Indexed: 12/29/2022] Open
Abstract
Intestinal duplications cysts are rare congenital anomalies that can occur throughout the gastrointestinal tract. Isolated intestinal duplication cysts can present with vague abdominal complaints. Diagnosis can be challenging even with imaging. Our clinical workup was suggestive of a mucinous cystic neoplasm (MCN) of the pancreas. This represents the first reported case of an enteric duplication cyst that mimicked an MCN of the pancreas.
Introduction Enteric duplication cysts presenting in adulthood are rare. Isolated enteric duplication cysts, which lack a connection to the GI tract or the adjacent mesenteric vasculature, have only been cited in six previous case reports. Case presentation A 48-year-old female presented with a four-year history of intermittent nausea, vomiting and abdominal pain. Computed tomography (CT) scan of the abdomen revealed a 7 cm multi-lobular, calcified, cystic lesion intimately involved with the pancreas. Endoscopic ultrasound (EUS)-guided fine-needle aspiration (FNA) was non-diagnostic; however, the cyst fluid Carcinoembryonic Antigen (CEA) level was significantly elevated leading to a presumed diagnosis of a mucinous cystic neoplasm (MCN) of the pancreas. Intraoperatively, the cystic mass was identified and notably did not have any true attachments to the neighboring pancreas, gastrointestinal tract or vasculature. Final pathology demonstrated an isolated small bowel duplication cyst. Discussion In this case a patient presented with a clinical picture consistent with an MCN of the pancreas. However, intraoperatively and on final pathology the mass was found to be an isolated enteric duplication cyst. This represents only the seventh such case report in an adult. Conclusion Although rare, isolated enteric duplication cysts can be considered in a patient presenting with chronic abdominal pain and an abdominal mass on imaging. In this case we demonstrate that an isolated enteric duplication cyst can clinically mimic an MCN of the pancreas.
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Jehangir S, Ninan PJ, Jacob TJ, Eapen A, Mathai J, Thomas RJ, Karl S. Enteric duplication in children: Experience from a tertiary center in South India. J Indian Assoc Pediatr Surg 2015; 20:174-8. [PMID: 26628808 PMCID: PMC4586979 DOI: 10.4103/0971-9261.164246] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023] Open
Abstract
Background: Enteric duplications (EDs) are rare aberrations of the embryonic gut. This study was undertaken to define the clinical characteristics and management challenges of this unusual entity in the Indian population. Materials and Methods: Hospital records of 35 children with 38 ED operated between 2003 and 2014 were analyzed and followed up. Results: The median age at presentation was 285 days (range 1-day to 16 years) with male preponderance (71%). Small bowel duplications were the most common (44%), and thoracoabdominal duplications were seen in 8% children compared to 2% in the literature. The median duration of symptoms was 18 days (interquartile range [IQR] 3-210 days). Associated anomalies were seen in 49% children with vertebral and spinal anomalies being the most common. Ultrasonogram (US) was done in 83% children and had a sensitivity of 55%. In the presence of a gastrointestinal bleed, Technetium99m pertechnetate scintigraphy scan had a positive predictive value of 80%. Thirty-five lesions were completely removed. Mucosectomy was done in two children, and one total colonic duplication was left in situ after providing adequate internal drainage. There was no postoperative mortality. The follow-up was possible in 66% children. Conclusions: EDs are uncommon and have varied, nonspecific symptoms. Thoracoabdominal duplications are more common in the Indian population. The US is a good screening tool but requires a high index of suspicion where complete excision is not possible; the provision of adequate internal drainage is an acceptable alternative. The long-term prognosis of children with ED depends on the extent of physiological disturbance due to associated anomalies.
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Affiliation(s)
- Susan Jehangir
- Department of Pediatric Surgery, Christian Medical College, Vellore, Tamil Nadu, India
| | - Pradeep Joseph Ninan
- Department of Pediatric Surgery, Christian Medical College, Vellore, Tamil Nadu, India
| | - Tarun John Jacob
- Department of Pediatric Surgery, Christian Medical College, Vellore, Tamil Nadu, India
| | - Anu Eapen
- Department of Radiodiagnosis, Christian Medical College, Vellore, Tamil Nadu, India
| | - John Mathai
- Department of Pediatric Surgery, Christian Medical College, Vellore, Tamil Nadu, India
| | - Reju Joseph Thomas
- Department of Pediatric Surgery, Christian Medical College, Vellore, Tamil Nadu, India
| | - Sampath Karl
- Department of Pediatric Surgery, Christian Medical College, Vellore, Tamil Nadu, India
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Hobbs J, Penninck D, Lyons J. Malignant transformation of a duodenal duplication cyst in a cat. JFMS Open Rep 2015; 1:2055116915579946. [PMID: 28491349 PMCID: PMC5362879 DOI: 10.1177/2055116915579946] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/04/2014] [Indexed: 12/29/2022] Open
Abstract
Case summary A 15-year-old domestic shorthair cat presented for lethargy, vomiting and anorexia.
Abdominal ultrasound showed a bi-lobed cystic duodenal mass. Based on ultrasonographic
features, malignant transformation of a duodenal duplication cyst was suspected. A
resection and anastomosis was performed. Histology of the mass was consistent with
carcinoma and an intestinal mucosa was present along the inner surface of the mass,
suggestive of a duplication cyst. The patient returned 3 months postsurgery with
recurrence of clinical signs. Abdominal ultrasound showed a recurrent duodenal mass at
the surgery site and body wall nodules. Fine-needle aspirates of these lesions showed
epithelial neoplasia. Owing to the poor prognosis, the owners elected euthanasia. Relevance and novel information Malignant transformation of duplication cysts in cats is rare but can be detected on
ultrasound. The described ultrasonographic features can aid in prioritization of
malignant transformation of duplication cysts as a differential diagnosis.
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Affiliation(s)
- Joshua Hobbs
- Department of Diagnostic Imaging, Tufts Cummings School of Veterinary Medicine, North Grafton, MA, USA
| | - Dominique Penninck
- Department of Diagnostic Imaging, Tufts Cummings School of Veterinary Medicine, North Grafton, MA, USA
| | - Jeremy Lyons
- Department of Pathology, Tufts Cummings School of Veterinary Medicine, North Grafton, MA, USA
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Kang M, An J, Chung DH, Cho HY. Adenocarcinoma arising in a colonic duplication cyst: a case report and review of the literature. KOREAN JOURNAL OF PATHOLOGY 2014; 48:62-5. [PMID: 24627698 PMCID: PMC3950238 DOI: 10.4132/koreanjpathol.2014.48.1.62] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/20/2013] [Revised: 05/13/2013] [Accepted: 05/14/2013] [Indexed: 12/12/2022]
Affiliation(s)
- Myunghee Kang
- Department of Pathology, Gachon University Gil Medical Center, Incheon, Korea
| | - Jungsuk An
- Department of Pathology, Gachon University Gil Medical Center, Incheon, Korea
| | - Dong Hae Chung
- Department of Pathology, Gachon University Gil Medical Center, Incheon, Korea
| | - Hyun Yee Cho
- Department of Pathology, Gachon University Gil Medical Center, Incheon, Korea
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Tsai SD, Sopha SC, Fishman EK. Isolated duodenal duplication cyst presenting as a complex solid and cystic mass in the upper abdomen. J Radiol Case Rep 2014; 7:32-7. [PMID: 24421928 DOI: 10.3941/jrcr.v7i11.1785] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023] Open
Abstract
Duodenal duplication cysts are a rare subtype of gastrointestinal duplications cysts. Approximately 5% of gastrointestinal duplication cysts occur in the duodenum. An 18-year-old woman presented with epigastric pain and a subjective abdominal bulge. A computed tomography scan was subsequently performed and showed a solid and cystic mass with wall calcifications in the lesser sac of the upper abdomen. A duodenal duplication cyst was found unexpectedly on histopathologic analysis. This was also an unusual case as there was no evidence of malignancy. Four years after surgery, the patient remains asymptomatic. We present a brief literature review on duodenal duplication cysts and discuss its differential diagnosis.
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Affiliation(s)
- Salina D Tsai
- The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins Medical Institutions, Baltimore, MD, USA
| | - Sabrina C Sopha
- Department of Pathology, Johns Hopkins Hospital, Baltimore, MD, USA
| | - Elliot K Fishman
- The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins Medical Institutions, Baltimore, MD, USA
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Ma H, Xiao W, Li J, Li Y. Clinical and pathological analysis of malignancies arising from alimentary tract duplications. Surg Oncol 2012; 21:324-30. [PMID: 23025911 DOI: 10.1016/j.suronc.2012.09.001] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2012] [Revised: 09/02/2012] [Accepted: 09/03/2012] [Indexed: 12/11/2022]
Abstract
BACKGROUND Malignant change is a rare complication of alimentary tract duplications. METHODS Articles concerning malignancies arising from alimentary tract duplications published from 1955 to 2012 on PubMed were extensively reviewed. These cases were reclassified and analyzed according to sites of clinical manifestations, diagnostic examinations, methods of management, pathological findings, clinical staging and prognosis. RESULTS There were 64 citations in the literature that provided adequate descriptions of 67 cases of malignancies arising from alimentary tract duplications near the oesophagus (n = 6), stomach (n = 10), small intestine (n = 19), appendix (n = 1) and large intestine (n = 31). Among the cases described above, 57 underwent surgical treatment. In 43 patients with known prognosis, 7 died of tumour progression. In another 5 cases, the tumours recurred and metastasized recurred and metastasised after surgery at an average of 11.4 months. CONCLUSIONS For relieving symptoms and preventing malignant change, all duplications should be considered for surgery. Unfortunately, prognosis is generally poor once malignancy has occurred in the duplications.
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Affiliation(s)
- Haifen Ma
- Department of Pathology, Beilun People's Hospital, Ningbo City, Zhejiang Province, China.
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Martin ST, Ko JS, Plesec TP, Ananthakrishnan L, Remzi FH. Colonic duplication mimicking fistulizing Crohn's colitis. Inflamm Bowel Dis 2011; 17:E103-5. [PMID: 21594955 DOI: 10.1002/ibd.21768] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/02/2011] [Accepted: 04/12/2011] [Indexed: 12/09/2022]
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