Stool filling of an intestinal duplication cyst at the ileocecal valve triggers colonic intussusception: a case report
Abstract Background Intestinal duplication, a congenital malformation, is considered a rare condition, particularly in adults. Although it affects young children, a minority of patients remains asymptomatic until adulthood. Here, we describe a case of an intestinal duplication cyst that caused intus...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2018-09-01
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| Series: | Surgical Case Reports |
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| Online Access: | http://link.springer.com/article/10.1186/s40792-018-0527-z |
| _version_ | 1818058627127181312 |
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| author | Sota Kimura Hiroyuki Iida Naoto Gunji Takeshi Gohongi Takesaburo Ogata |
| author_facet | Sota Kimura Hiroyuki Iida Naoto Gunji Takeshi Gohongi Takesaburo Ogata |
| author_sort | Sota Kimura |
| collection | DOAJ |
| description | Abstract Background Intestinal duplication, a congenital malformation, is considered a rare condition, particularly in adults. Although it affects young children, a minority of patients remains asymptomatic until adulthood. Here, we describe a case of an intestinal duplication cyst that caused intussusception by a unique mechanism. Case presentation A 19-year-old man was admitted to our hospital for intermittent abdominal pain. Computed tomography revealed colonic intussusception induced by a nodular mass in the ileocecal region. Urgent ileocecal resection was performed because of the risk of colonic ischemia. The resected material comprised a stool-filled noncommunicating cyst that protruded into the enteric lumen at the ileocecal valve. Histological analyses revealed that the inner wall of the cyst was lined with colonic mucosa and that the muscle layer of the cyst was shared with that of the original enteric wall; furthermore, the cyst had a vestige of an opening site in the wall. We concluded that the cyst was an intestinal duplication that poured stool into its lumen through the tiny orifice, thereby triggering intussusception. Conclusions The present case suggests that stool-pouring can cause intussusception into the space of an intestinal duplication lesion. |
| first_indexed | 2024-12-10T13:03:38Z |
| format | Article |
| id | doaj.art-9c6508b38bc1485fa37def5c42518937 |
| institution | Directory Open Access Journal |
| issn | 2198-7793 |
| language | English |
| last_indexed | 2024-12-10T13:03:38Z |
| publishDate | 2018-09-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj.art-9c6508b38bc1485fa37def5c425189372022-12-22T01:47:55ZengSpringerOpenSurgical Case Reports2198-77932018-09-01411410.1186/s40792-018-0527-zStool filling of an intestinal duplication cyst at the ileocecal valve triggers colonic intussusception: a case reportSota Kimura0Hiroyuki Iida1Naoto Gunji2Takeshi Gohongi3Takesaburo Ogata4Department of Surgery, Tsukuba Gakuen HospitalDepartment of Surgery, Tsukuba Gakuen HospitalDepartment of Surgery, Tsukuba Gakuen HospitalDepartment of Surgery, Tsukuba Gakuen HospitalDepartment of Pathology, Tsukuba Gakuen HospitalAbstract Background Intestinal duplication, a congenital malformation, is considered a rare condition, particularly in adults. Although it affects young children, a minority of patients remains asymptomatic until adulthood. Here, we describe a case of an intestinal duplication cyst that caused intussusception by a unique mechanism. Case presentation A 19-year-old man was admitted to our hospital for intermittent abdominal pain. Computed tomography revealed colonic intussusception induced by a nodular mass in the ileocecal region. Urgent ileocecal resection was performed because of the risk of colonic ischemia. The resected material comprised a stool-filled noncommunicating cyst that protruded into the enteric lumen at the ileocecal valve. Histological analyses revealed that the inner wall of the cyst was lined with colonic mucosa and that the muscle layer of the cyst was shared with that of the original enteric wall; furthermore, the cyst had a vestige of an opening site in the wall. We concluded that the cyst was an intestinal duplication that poured stool into its lumen through the tiny orifice, thereby triggering intussusception. Conclusions The present case suggests that stool-pouring can cause intussusception into the space of an intestinal duplication lesion.http://link.springer.com/article/10.1186/s40792-018-0527-zIntestinal duplicationDuplication cystIleocecal valveIntussusception |
| spellingShingle | Sota Kimura Hiroyuki Iida Naoto Gunji Takeshi Gohongi Takesaburo Ogata Stool filling of an intestinal duplication cyst at the ileocecal valve triggers colonic intussusception: a case report Surgical Case Reports Intestinal duplication Duplication cyst Ileocecal valve Intussusception |
| title | Stool filling of an intestinal duplication cyst at the ileocecal valve triggers colonic intussusception: a case report |
| title_full | Stool filling of an intestinal duplication cyst at the ileocecal valve triggers colonic intussusception: a case report |
| title_fullStr | Stool filling of an intestinal duplication cyst at the ileocecal valve triggers colonic intussusception: a case report |
| title_full_unstemmed | Stool filling of an intestinal duplication cyst at the ileocecal valve triggers colonic intussusception: a case report |
| title_short | Stool filling of an intestinal duplication cyst at the ileocecal valve triggers colonic intussusception: a case report |
| title_sort | stool filling of an intestinal duplication cyst at the ileocecal valve triggers colonic intussusception a case report |
| topic | Intestinal duplication Duplication cyst Ileocecal valve Intussusception |
| url | http://link.springer.com/article/10.1186/s40792-018-0527-z |
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