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Altering Appearance of Fetal Enteric Duplication Cysts: The Gut Signature Sign and Other Indications for Prenatal Diagnosis. JOURNAL OF FETAL MEDICINE 2022. [DOI: 10.1007/s40556-022-00332-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Jadhav BB, Sandlas GR. Robotic-assisted enteric sparing excision of jejunal duplication cyst. J Minim Access Surg 2019; 15:336-338. [PMID: 30618427 PMCID: PMC6839348 DOI: 10.4103/jmas.jmas_221_18] [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] [Indexed: 11/17/2022] Open
Abstract
Duplication cysts of the gastrointestinal tract are rare and have varied presentations. Complete excision of the cyst is the treatment of choice, either by the open method or laparoscopic method. Authors describe the case of a jejunal duplication cyst excised by robotic minimally invasive surgery. A more safe and precise excision of bowel duplication cysts without bowel resection is possible with the help of robotic assistance.
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Affiliation(s)
- Bhushanrao Bhagawan Jadhav
- Department of Pediatric Surgery and Pediatric Urology, Kokilaben Dhirubhai Ambani Hospital, Mumbai, Maharashtra, India
| | - Gursev Ramchand Sandlas
- Department of Pediatric Surgery and Pediatric Urology, Kokilaben Dhirubhai Ambani Hospital, Mumbai, Maharashtra, India
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Nishizawa C, Cajusay-Velasco S, Mashima M, Mori N, Hayashi K, Kubo H, Shimono R, Koyano K, Hata T. HDlive imaging of fetal enteric duplication cyst. J Med Ultrason (2001) 2014; 41:511-4. [PMID: 27278035 DOI: 10.1007/s10396-014-0548-6] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2014] [Accepted: 04/24/2014] [Indexed: 12/28/2022]
Abstract
Enteric duplication cysts are rare congenital anomalies, but their antenatal diagnosis is becoming more common because of advances in ultrasonography. With the latest state-of-the-art technology, HDlive facilitates a more realistic anatomical visualization of different fetal organ structures, making diagnosis more precise. We present a case of antenatal HDlive imaging of an enteric duplication cyst. A 26-year-old pregnant Japanese woman was referred to our ultrasound clinic because of a fetal intra-abdominal cyst at 27 weeks of gestation. Two-dimensional (2D) ultrasound revealed a sonolucent, ellipsoid structure in the subhepatic area. Magnetic resonance imaging yielded the same findings. However, irregular internal echoes appeared at 33 weeks of gestation. There was no vascularity on color Doppler. HDlive clearly depicted a more realistic image of the circular mass, which was thick walled, with a large amount of debris inside, and showed no communication with adjacent structures. Careful monitoring was conducted for these unusual findings. A day after delivery, an emergency operation was performed because the infant had sudden signs and symptoms of obstruction. Intra-operative findings were ileus and a necrotic ileal duplication cyst confirmed by histopathologic studies. Complications of enteric duplication cyst can arise at any time of life, and so thorough monitoring may be recommended. The findings of irregular internal echoes and a large amount of debris inside the cyst are relatively characteristic features of a complicated cyst. HDlive gives us additional information on the actual appearance of a complicated cyst that may be difficult to obtain using conventional 2D sonography alone. HDlive can be very useful in the antenatal surveillance of enteric duplication cysts.
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Affiliation(s)
- Chika Nishizawa
- Department of Perinatology and Gynecology, Kagawa University School of Medicine, 1750-1 Ikenobe, Miki, Kagawa, 761-0793, Japan
| | - Sarah Cajusay-Velasco
- Department of Perinatology and Gynecology, Kagawa University School of Medicine, 1750-1 Ikenobe, Miki, Kagawa, 761-0793, Japan
| | - Masato Mashima
- Department of Perinatology and Gynecology, Kagawa University School of Medicine, 1750-1 Ikenobe, Miki, Kagawa, 761-0793, Japan
| | - Nobuhiro Mori
- Department of Perinatology and Gynecology, Kagawa University School of Medicine, 1750-1 Ikenobe, Miki, Kagawa, 761-0793, Japan
| | - Keiji Hayashi
- Department of Obstetrics and Gynecology, Uchinomi Hospital, 44-95 Katajo-Kou, Shoudoshima-cho, Shouzu-gun, Kagawa, 761-4431, Japan
| | - Hiroyuki Kubo
- Department of Pediatric Surgery, Kagawa University School of Medicine, 1750-1 Ikenobe, Miki, Kagawa, 761-0793, Japan
| | - Ryuichi Shimono
- Department of Pediatric Surgery, Kagawa University School of Medicine, 1750-1 Ikenobe, Miki, Kagawa, 761-0793, Japan
| | - Kosuke Koyano
- Department of Pediatrics, Kagawa University School of Medicine, 1750-1 Ikenobe, Miki, Kagawa, 761-0793, Japan
| | - Toshiyuki Hata
- Department of Perinatology and Gynecology, Kagawa University School of Medicine, 1750-1 Ikenobe, Miki, Kagawa, 761-0793, Japan.
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