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Journal of Indian Association of Pediatric Surgeons
     Journal of Indian Association of Pediatric Surgeons
Official journal of the Indian Association of Pediatric Surgeons         
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IMAGE IN PRACTICE
Year : 2023  |  Volume : 28  |  Issue : 6  |  Page : 544-545
 

Intraluminal enteric duplication cyst presenting as intussusception: A rarity


Department of Paediatric Surgery, AIIMS, Patna, Bihar, India

Date of Submission26-Jan-2023
Date of Decision12-Aug-2023
Date of Acceptance22-Aug-2023
Date of Web Publication02-Nov-2023

Correspondence Address:
Keerthana Bachala
No. 609, Hostel 10, AIIMS, Patna - 801 507, Bihar
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jiaps.jiaps_23_23

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How to cite this article:
Bachala K, Suman BK, Dudhani S, Singh RJ, Sinha AK. Intraluminal enteric duplication cyst presenting as intussusception: A rarity. J Indian Assoc Pediatr Surg 2023;28:544-5

How to cite this URL:
Bachala K, Suman BK, Dudhani S, Singh RJ, Sinha AK. Intraluminal enteric duplication cyst presenting as intussusception: A rarity. J Indian Assoc Pediatr Surg [serial online] 2023 [cited 2023 Nov 28];28:544-5. Available from: https://www.jiaps.com/text.asp?2023/28/6/544/389325




Enteric duplication cysts are rare anomalies with an incidence of 1 in 4500.[1] A 2-year-old female child presented with complaints of abdominal pain, bilious vomiting, and distension for 3 days. The child was evaluated and diagnosed with ileocolic intussusception. On exploration, around 25 cm of ileum was intussuscepted into the distal colon, and after reduction, a bluish bulge was visualized on the anti-mesenteric border; 2 feet from the ileocecal junction [Figure 1], [Figure 2], [Figure 3]. Resection and anastomosis were done. Grossly, it was an intraluminal mass obstructing 70% of lumen [Figure 4]. The histopathology report revealed an intramural duplication cyst. Duplication cysts are classified into saccular, tubular, and small intramural.[2] This case highlights the ileal duplication cyst as an uncommon cause of ileocolic intussusception.
Figure 1: White arrow showing the intussusception before reduction (intraoperative image)

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Figure 2: Intraoperative image after reduction shows a bluish mass on the anti-mesenteric border

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Figure 3: Resected specimen showing mass

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Figure 4: Resected specimen showing red fleshy mass obstructing 70% of lumen

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
   References Top

1.
Patiño Mayer J, Bettolli M. Alimentary tract duplications in newborns and children: Diagnostic aspects and the role of laparoscopic treatment. World J Gastroenterol 2014;20:14263-71.  Back to cited text no. 1
    
2.
Kim HS, Sung JY, Park WS, Kim YW. An ileal duplication cyst manifested as an ileocolic intussusception in an adult. Turk J Gastroenterol 2014;25 Suppl 1:196-8.  Back to cited text no. 2
    


    Figures

  [Figure 1], [Figure 2], [Figure 3], [Figure 4]



 

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