Enteric Duplication Cyst in a One-year-old Child: A Case Report
Enteric duplication cysts are rare congenital anomalies of the gastrointestinal tract, predominantly occurring in the ileum, although they can present in various locations, such as the retroperitoneum. These cysts may contain heterotopic tissues and can mimic other cystic lesions of the pancreas and...
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JCDR Research and Publications Private Limited
2025-05-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://jcdr.net/articles/PDF/21005/78370_CE[Ra1]_F(SS)_QC(PS_SS)_PF1(VD_KR)_redo_PFA(IS)_PN(IS).pdf |
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| author | Patil Rashmi Veerla Siddharth Dhananjay Vaze Jadhav Pranav Aniruddha Bhagwat |
| author_facet | Patil Rashmi Veerla Siddharth Dhananjay Vaze Jadhav Pranav Aniruddha Bhagwat |
| author_sort | Patil Rashmi |
| collection | DOAJ |
| description | Enteric duplication cysts are rare congenital anomalies of the gastrointestinal tract, predominantly occurring in the ileum, although they can present in various locations, such as the retroperitoneum. These cysts may contain heterotopic tissues and can mimic other cystic lesions of the pancreas and peripancreatic region, posing diagnostic challenges. Hereby, the authors present a case of a one-year-old male child who presented with acute epigastric abdominal pain, vomiting, and fever. Clinical examination revealed a palpable epigastric mass. Ultrasonography (USG) and Contrast-enhanced Computed Tomography (CECT) demonstrated a large, multiloculated cystic lesion in the retroperitoneum, anterior to the pancreas, causing extrinsic gastric compression. Exploratory laparotomy revealed a thick-walled cystic mass adherent to the coeliac artery and splenic vessels, which was completely excised. Histopathological examination confirmed an enteric duplication cyst with a hamartomatous component, comprising multiple epithelial types, pancreatic acini, smooth muscle tissue, and arteriovenous malformations. The present case highlights the importance of considering enteric duplication cysts in the differential diagnosis of retroperitoneal cystic lesions in infants. Complete surgical excision is crucial to prevent potential complications such as infection, perforation, or malignant transformation. |
| format | Article |
| id | doaj-art-e6702c7f551d4fe6aeff7087d24245a9 |
| institution | Kabale University |
| issn | 2249-782X 0973-709X |
| language | English |
| publishDate | 2025-05-01 |
| publisher | JCDR Research and Publications Private Limited |
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| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj-art-e6702c7f551d4fe6aeff7087d24245a92025-08-20T03:48:06ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2025-05-01195PD09PD1110.7860/JCDR/2025/78370.21005Enteric Duplication Cyst in a One-year-old Child: A Case ReportPatil Rashmi0Veerla Siddharth1Dhananjay Vaze2Jadhav Pranav3Aniruddha Bhagwat4Assistant Professor, Department of Paediatrics Surgery, Dr. D.Y. Patil Medical College Hospital and Research, Pune, Maharashtra, India.Junior Resident, Department of General Surgery, Dr. D.Y. Patil Medical College Hospital and Research, Pune, Maharashtra, India.Assistant Professor, Department of Paediatrics Surgery, Dr. D.Y. Patil Medical College Hospital and Research, Pune, Maharashtra, India.Professor and Head, Department of Paediatrics Surgery, Dr. D.Y. Patil Medical College Hospital and Research, Pune, Maharashtra, India.Associate Professor, Department of Paediatrics Surgery, Dr. D.Y. Patil Medical College Hospital and Research, Pune, Maharashtra, India.Enteric duplication cysts are rare congenital anomalies of the gastrointestinal tract, predominantly occurring in the ileum, although they can present in various locations, such as the retroperitoneum. These cysts may contain heterotopic tissues and can mimic other cystic lesions of the pancreas and peripancreatic region, posing diagnostic challenges. Hereby, the authors present a case of a one-year-old male child who presented with acute epigastric abdominal pain, vomiting, and fever. Clinical examination revealed a palpable epigastric mass. Ultrasonography (USG) and Contrast-enhanced Computed Tomography (CECT) demonstrated a large, multiloculated cystic lesion in the retroperitoneum, anterior to the pancreas, causing extrinsic gastric compression. Exploratory laparotomy revealed a thick-walled cystic mass adherent to the coeliac artery and splenic vessels, which was completely excised. Histopathological examination confirmed an enteric duplication cyst with a hamartomatous component, comprising multiple epithelial types, pancreatic acini, smooth muscle tissue, and arteriovenous malformations. The present case highlights the importance of considering enteric duplication cysts in the differential diagnosis of retroperitoneal cystic lesions in infants. Complete surgical excision is crucial to prevent potential complications such as infection, perforation, or malignant transformation.https://jcdr.net/articles/PDF/21005/78370_CE[Ra1]_F(SS)_QC(PS_SS)_PF1(VD_KR)_redo_PFA(IS)_PN(IS).pdfabdominal paincongenital abnormalitycystic lesionhamartomalaparotomy |
| spellingShingle | Patil Rashmi Veerla Siddharth Dhananjay Vaze Jadhav Pranav Aniruddha Bhagwat Enteric Duplication Cyst in a One-year-old Child: A Case Report Journal of Clinical and Diagnostic Research abdominal pain congenital abnormality cystic lesion hamartoma laparotomy |
| title | Enteric Duplication Cyst in a One-year-old Child: A Case Report |
| title_full | Enteric Duplication Cyst in a One-year-old Child: A Case Report |
| title_fullStr | Enteric Duplication Cyst in a One-year-old Child: A Case Report |
| title_full_unstemmed | Enteric Duplication Cyst in a One-year-old Child: A Case Report |
| title_short | Enteric Duplication Cyst in a One-year-old Child: A Case Report |
| title_sort | enteric duplication cyst in a one year old child a case report |
| topic | abdominal pain congenital abnormality cystic lesion hamartoma laparotomy |
| url | https://jcdr.net/articles/PDF/21005/78370_CE[Ra1]_F(SS)_QC(PS_SS)_PF1(VD_KR)_redo_PFA(IS)_PN(IS).pdf |
| work_keys_str_mv | AT patilrashmi entericduplicationcystinaoneyearoldchildacasereport AT veerlasiddharth entericduplicationcystinaoneyearoldchildacasereport AT dhananjayvaze entericduplicationcystinaoneyearoldchildacasereport AT jadhavpranav entericduplicationcystinaoneyearoldchildacasereport AT aniruddhabhagwat entericduplicationcystinaoneyearoldchildacasereport |