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Miry N, Karich N, Bakhti M, Deflaoui T, Bennani A. Unusual Presentation of an Ileal Duplication Cyst: A Case Report. Cureus 2023; 15:e38959. [PMID: 37313060 PMCID: PMC10258869 DOI: 10.7759/cureus.38959] [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] [Accepted: 05/12/2023] [Indexed: 06/15/2023] Open
Abstract
Duplication cyst (DC) of the digestive tract is a rare embryological anomaly, presenting as a cystic formation that could be attached to any part of the digestive tract, it is a thin-walled structure made of two layers, an inner layer that is frequently lined by an alimentary epithelium, surrounded by a smooth muscle layer often shared with the adjacent digestive segment. DCs are most commonly located in the distal ileum; sometimes, they are associated with other visceral or skeletal anomalies. They are frequently discovered during childhood, following a bowel obstruction or abdominal pain. Here we report a rare case of an ileal DC lined by a pseudostratified and ciliated epithelium, discovered in an adult patient following intestinal obstruction syndrome.
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Affiliation(s)
- Nadir Miry
- Department of Pathology, Mohammed VI University Hospital, Oujda, MAR
| | - Nassira Karich
- Department of Pathology, Mohammed VI University Hospital, Oujda, MAR
| | - Mohammed Bakhti
- Department of Pathology, Mohammed VI University Hospital, Oujda, MAR
| | - Tarik Deflaoui
- Department of Visceral Surgery and Digestive Oncology, Mohammed VI University Hospital, Oujda, MAR
| | - Amal Bennani
- Department of Pathology, Mohammed VI University Hospital, Oujda, MAR
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Shanmugalingam A, Duxbury H, Choi JDW, Kwik C, P'Ng CH, Kim L, Pathma-Nathan N. An unusual case of colonic duplication cyst in an adult with dysplasia. J Surg Case Rep 2023; 2023:rjad039. [PMID: 36824693 PMCID: PMC9943052 DOI: 10.1093/jscr/rjad039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2023] [Accepted: 01/17/2023] [Indexed: 02/25/2023] Open
Abstract
Duplication cysts are rare benign congenital malformations typically identified in children by the age of 2 years. We report a rare case of colonic duplication cyst with dysplasia in an adult. A 32-year-old male was diagnosed with non-specific abdominal symptoms. Abdominopelvic computed tomography scan demonstrated a submucosal cystic lesion in the right colon. He underwent laparoscopic right hemicolectomy. Histopathology showed colonic duplication cyst with low grade dysplasia. He is due for a surveillance colonoscopy in 3 years. Duplication cyst in an adult colon with dysplasia is extremely rare. They are usually present in the terminal ileum. They have non-specific abdominal symptoms or can be asymptomatic. They are often identified incidentally or intraoperatively. Imaging may demonstrate a cystic lesion. Histopathology is required for definitive diagnosis. There are no guidelines or consensus on managing duplication cysts in adults. We recommend an oncological resection of the involved colon. Surveillance with routine colonoscopy is advisable.
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Affiliation(s)
- Aswin Shanmugalingam
- Department of Colorectal Surgery, Westmead Hospital, Corner of Hawkesbury and Darcy Roads, Westmead, NSW 2145, Australia
| | - Hayley Duxbury
- Department of Tissue Pathology and Diagnostic Oncology, ICPMR, Westmead Hospital, Corner of Hawkesbury and Darcy Roads, Westmead, NSW 2145, Australia
| | - Joseph Do Woong Choi
- Department of Colorectal Surgery, Westmead Hospital, Corner of Hawkesbury and Darcy Roads, Westmead, NSW 2145, Australia
| | - Charlotte Kwik
- Department of Colorectal Surgery, Westmead Hospital, Corner of Hawkesbury and Darcy Roads, Westmead, NSW 2145, Australia
| | - Chow Heok P'Ng
- Department of Tissue Pathology and Diagnostic Oncology, ICPMR, Westmead Hospital, Corner of Hawkesbury and Darcy Roads, Westmead, NSW 2145, Australia
| | - Lauren Kim
- Department of Tissue Pathology and Diagnostic Oncology, ICPMR, Westmead Hospital, Corner of Hawkesbury and Darcy Roads, Westmead, NSW 2145, Australia
| | - Nimalan Pathma-Nathan
- Department of Colorectal Surgery, Westmead Hospital, Corner of Hawkesbury and Darcy Roads, Westmead, NSW 2145, Australia
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Gandhi D, Garg T, Shah J, Sawhney H, Crowder BJ, Nagar A. Gastrointestinal duplication cysts: what a radiologist needs to know. Abdom Radiol (NY) 2022; 47:13-27. [PMID: 34417830 DOI: 10.1007/s00261-021-03239-w] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2021] [Revised: 08/02/2021] [Accepted: 08/03/2021] [Indexed: 12/13/2022]
Abstract
Gastrointestinal tract duplication cysts are rare congenital malformations which can be diagnosed as early as the prenatal period but are frequently found in infancy or incidentally in adulthood. They can be seen throughout the alimentary tract with the most common involving the distal ileum and second most common the esophagus. Many duplication cysts are asymptomatic and thus discovered as an incidental imaging finding, though they can also be symptomatic with an array of clinical presentations dependent largely on their location. The vast majority of duplication cysts are benign; however, there are rare instances of malignant transformation reported. The aim of this review is to show how multimodality imaging can help in the diagnosis of duplication cysts at various anatomical locations. Duplication cyst can become symptomatic and in rare cases undergo malignant transformation; therefore, they are typically managed with surgical excision, particularly if found prenatally or during infancy. Given the diversity of anatomic locations, multiple differential diagnoses, and the need for surgical intervention, it is valuable to comprehend the role of multimodality imaging role in diagnosing duplication cysts.
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Affiliation(s)
- Darshan Gandhi
- Department of Radiology, Northwestern Memorial Hospital, Northwestern University Feinberg School of Medicine, 676 N St. Clair St, Suite 800, Chicago, IL, 60611, USA.
| | - Tushar Garg
- Department of Radiology, Seth GS Medical College & KEM Hospital, Acharya Donde Marg, Parel East, Parel, Mumbai, Maharashtra, 400012, India
| | - Jignesh Shah
- Department of Pediatric Radiology, University of Tennessee Health Science Center, Memphis, TN, 38103, USA
| | - Harpreet Sawhney
- Department of Radiology, Bridgeport Hospital at Yale New Haven Health, 167 Grant St, Bridgeport, CT, 06610, USA
| | - Benjamin James Crowder
- Department of Radiology, The Ohio State University Wexner Medical Center, 395W, 12th Av, 4th Floor, Columbus, OH, 43210, USA
| | - Arpit Nagar
- Department of Radiology, The Ohio State University Wexner Medical Center, 395W, 12th Av, 4th Floor, Columbus, OH, 43210, USA
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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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Elhasan MEAB, Sirdab YA, Bakheit IA. 54-cm enteric duplication cyst in a 13-year-old female. Clin Case Rep 2018; 6:2099-2102. [PMID: 30455900 PMCID: PMC6230635 DOI: 10.1002/ccr3.1751] [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: 12/15/2017] [Revised: 06/08/2018] [Accepted: 07/09/2018] [Indexed: 11/11/2022] Open
Abstract
Enteric duplication cyst is a very rare condition, the affected individual may be asymptomatic. It has serious complications, on top of which is a malignant transformation tendency. To avoid these complications, resection of the duplication seems to be mandatory, even if it is an incidental finding.
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Affiliation(s)
- Mohamed Elghazali Ahmed Basheer Elhasan
- Assistant Professor of General SurgeryIbrahim Malik Teaching HospitalFaculty of Medicine‐University of KhartoumSudan
- MSc‐anatomy MRCS ‐part A‐ (Ed)General Surgery ResidentSudan Medical Specialization Board (SMSB)Khartoum StreetKhartoumSudan
| | - Younis A. Sirdab
- Assistant Professor of General SurgeryIbrahim Malik Teaching HospitalFaculty of Medicine‐University of KhartoumSudan
| | - Imad A. Bakheit
- FRCS (Ireland)Assistant Professor of General SurgeryFaculty of MedicineUniversity of KhartoumSudan
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A Midgut Duplication Cyst Lined by Respiratory Epithelium. Case Rep Surg 2018; 2018:2678782. [PMID: 29721345 PMCID: PMC5867684 DOI: 10.1155/2018/2678782] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2017] [Accepted: 01/29/2018] [Indexed: 11/28/2022] Open
Abstract
Duplication cysts are an uncommon finding. Majority of these cases are found in the region of the midgut, and many have been reported in literature. However, there has been only one previous case of a midgut duplication cyst lined by respiratory epithelium. This is a rare pathology, of which very little is known about. The pathophysiology of these cases is also difficult to explain. We aim to present a case of a midgut duplication cyst in a paediatric patient, who had other abnormalities as well. We also aim to offer a hypothesis for this case.
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Chen YH, Lv Z, Shen Z, Chen Y, Gao HC. A case of abdominal enteric cyst in China. Int J Surg Case Rep 2017; 33:124-126. [PMID: 28314225 PMCID: PMC5361768 DOI: 10.1016/j.ijscr.2017.02.036] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2017] [Revised: 02/20/2017] [Accepted: 02/20/2017] [Indexed: 11/19/2022] Open
Abstract
This article introduces A case of abdominal enteric cyst in china. Patients have been successfully operated.
To investigate a case of abdominal enteric cyst in China. The patient was admitted to the china-Japan Friendship Hospital of Jilin University, which was due to intermittent pain in the left side for the last 4 months. In this surgery, CT was used to diagnose the basic condition of the patient. Surgery was used for Treatment of patients with diseases. As soon as patients have been successfully operated by laparoscopic surgery.
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Affiliation(s)
- Ya-Hong Chen
- Department of Gastrointestinal surgery, China-Japan Union Hospital of Jilin University, Changchun, 130041, China
| | - Zhe Lv
- Department of Clinical Pharmacy, Jilin University School of Pharmaceutical Sciences, Changchun, 130021, China
| | - Zhen Shen
- Department of Gastrointestinal surgery, China-Japan Union Hospital of Jilin University, Changchun, 130041, China
| | - Yan Chen
- Department of Clinical Pharmacy, Jilin University School of Pharmaceutical Sciences, Changchun, 130021, China
| | - Hai-Cheng Gao
- Department of Clinical Pharmacy, Jilin University School of Pharmaceutical Sciences, Changchun, 130021, China.
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