Low-grade mucinous neoplasm originating from intestinal duplication: a case report and review of the literature

Abstract Background Low-grade mucinous neoplasms typically originate from the appendix and are characterized by a lining of low-grade mucus-secreting columnar epithelial cells and smooth muscle. However, atypical origins can occur, as demonstrated in this case report. Case presentation We present a...

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Main Authors: Huihui Yin, Jie Yu, Yunzhao Chen
Format: Article
Language:English
Published: BMC 2025-01-01
Series:World Journal of Surgical Oncology
Subjects:
Online Access:https://doi.org/10.1186/s12957-025-03682-9
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author Huihui Yin
Jie Yu
Yunzhao Chen
author_facet Huihui Yin
Jie Yu
Yunzhao Chen
author_sort Huihui Yin
collection DOAJ
description Abstract Background Low-grade mucinous neoplasms typically originate from the appendix and are characterized by a lining of low-grade mucus-secreting columnar epithelial cells and smooth muscle. However, atypical origins can occur, as demonstrated in this case report. Case presentation We present a case involving a 33-year-old male who, upon physical examination, was found to have an abdominal mass. A computed tomography (CT) scan revealed a cystic mass located between the pancreatic tail and the adjacent bowel duct, with significant enhancement of the cyst wall observed on contrast-enhanced imaging. The patient subsequently underwent laparoscopic surgical resection of the mass, and the resected specimen was sent for pathological evaluation. The pathology results were consistent with the histological morphology and immunohistochemical characteristics of low-grade mucinous tumors arising from intestinal duplication. Three and a half years post-resection, the patient returned for a follow-up examination, during which abdominal CT and blood tumor markers indicated no signs of tumor recurrence. Conclusions While low-grade mucinous tumors predominantly originate from the appendix, this case illustrates an unusual occurrence of such neoplasms arising from intestinal duplication. This report aims to enhance clinical awareness of low-grade mucinous tumors originating from intestinal duplication, thereby improving the rates of preoperative diagnosis and reducing instances of misdiagnosis.
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spelling doaj-art-820305b50c464e95890ad7644e5942cd2025-01-26T12:36:33ZengBMCWorld Journal of Surgical Oncology1477-78192025-01-012311610.1186/s12957-025-03682-9Low-grade mucinous neoplasm originating from intestinal duplication: a case report and review of the literatureHuihui Yin0Jie Yu1Yunzhao Chen2Cancer Center, Department of Pathology, Zhejiang Provincial People’s Hospital, Affiliated People’s Hospital, Hangzhou Medical CollegeCancer Center, Department of Pathology, Zhejiang Provincial People’s Hospital, Affiliated People’s Hospital, Hangzhou Medical CollegeCancer Center, Department of Pathology, Zhejiang Provincial People’s Hospital, Affiliated People’s Hospital, Hangzhou Medical CollegeAbstract Background Low-grade mucinous neoplasms typically originate from the appendix and are characterized by a lining of low-grade mucus-secreting columnar epithelial cells and smooth muscle. However, atypical origins can occur, as demonstrated in this case report. Case presentation We present a case involving a 33-year-old male who, upon physical examination, was found to have an abdominal mass. A computed tomography (CT) scan revealed a cystic mass located between the pancreatic tail and the adjacent bowel duct, with significant enhancement of the cyst wall observed on contrast-enhanced imaging. The patient subsequently underwent laparoscopic surgical resection of the mass, and the resected specimen was sent for pathological evaluation. The pathology results were consistent with the histological morphology and immunohistochemical characteristics of low-grade mucinous tumors arising from intestinal duplication. Three and a half years post-resection, the patient returned for a follow-up examination, during which abdominal CT and blood tumor markers indicated no signs of tumor recurrence. Conclusions While low-grade mucinous tumors predominantly originate from the appendix, this case illustrates an unusual occurrence of such neoplasms arising from intestinal duplication. This report aims to enhance clinical awareness of low-grade mucinous tumors originating from intestinal duplication, thereby improving the rates of preoperative diagnosis and reducing instances of misdiagnosis.https://doi.org/10.1186/s12957-025-03682-9Intestinal duplicationLow-grade mucinous tumorsRetroperitonealPathological features
spellingShingle Huihui Yin
Jie Yu
Yunzhao Chen
Low-grade mucinous neoplasm originating from intestinal duplication: a case report and review of the literature
World Journal of Surgical Oncology
Intestinal duplication
Low-grade mucinous tumors
Retroperitoneal
Pathological features
title Low-grade mucinous neoplasm originating from intestinal duplication: a case report and review of the literature
title_full Low-grade mucinous neoplasm originating from intestinal duplication: a case report and review of the literature
title_fullStr Low-grade mucinous neoplasm originating from intestinal duplication: a case report and review of the literature
title_full_unstemmed Low-grade mucinous neoplasm originating from intestinal duplication: a case report and review of the literature
title_short Low-grade mucinous neoplasm originating from intestinal duplication: a case report and review of the literature
title_sort low grade mucinous neoplasm originating from intestinal duplication a case report and review of the literature
topic Intestinal duplication
Low-grade mucinous tumors
Retroperitoneal
Pathological features
url https://doi.org/10.1186/s12957-025-03682-9
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AT jieyu lowgrademucinousneoplasmoriginatingfromintestinalduplicationacasereportandreviewoftheliterature
AT yunzhaochen lowgrademucinousneoplasmoriginatingfromintestinalduplicationacasereportandreviewoftheliterature