Incidentally discovered enteric duplication cyst: a case report
Enteric duplications are rare congenital diseases with heterogeneous clinical pictures ranging from an asymptomatic course to life-threatening consequences, most commonly arising at the ileal and ileocecal region. The antenatal discovery is possible when it concerns a voluminous cystic form enabling...
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| Format: | Article |
| Language: | English |
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Accademia Peloritana dei Pericolanti
2018-06-01
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| Series: | Atti della Accademia Peloritana dei Pericolanti - Classe di Scienze Medico-Biologiche |
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| Online Access: | http://cab.unime.it/journals/index.php/APMB/article/view/1854 |
| _version_ | 1818850222499954688 |
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| author | Flora Maria Peri Pietro Impellizzeri Salvatore Arena Valeria Barresi Patrizia Perrone Carmelo Romeo |
| author_facet | Flora Maria Peri Pietro Impellizzeri Salvatore Arena Valeria Barresi Patrizia Perrone Carmelo Romeo |
| author_sort | Flora Maria Peri |
| collection | DOAJ |
| description | Enteric duplications are rare congenital diseases with heterogeneous clinical pictures ranging from an asymptomatic course to life-threatening consequences, most commonly arising at the ileal and ileocecal region. The antenatal discovery is possible when it concerns a voluminous cystic form enabling an early management. The radiologic examinations are nonspecific and no diagnostic tools can allow a certain diagnosis on its own. Sometimes, the diagnosis of intestinal duplication is only made during the surgical exploration and confirmed after a histopathological examination.
We report a 4 years old girl with antenatal diagnosed ovarian cystic mass of about 4 mm. She was admitted to our unit for abdominal pain and constipation. Abdominal ultrasonography showed a cystic mass in the right iliac fossa. MRI revealed a well-defined cystic mass (6 x 4.2 x 5.4 cm) in the right mid abdomen displacing the bowel to the left, likely to be strongly adherent to the last part of the ileum. 99mtc pertechnetate scan was negative for ectopic gastric mucosa. A laparoscopic approach was eventually necessary and the diagnosis of duplication cyst was confirmed.
Children with antenatal diagnosis of abdominal mass need a close follow up and enteric duplication should be considered as potential diagnosis. The laparoscopic approach has an important role in differential diagnosis between intestinal duplications and other mass. |
| first_indexed | 2024-12-19T06:45:42Z |
| format | Article |
| id | doaj.art-c54d740b8aba44958bb98a865df882ae |
| institution | Directory Open Access Journal |
| issn | 0365-0294 1828-6550 |
| language | English |
| last_indexed | 2024-12-19T06:45:42Z |
| publishDate | 2018-06-01 |
| publisher | Accademia Peloritana dei Pericolanti |
| record_format | Article |
| series | Atti della Accademia Peloritana dei Pericolanti - Classe di Scienze Medico-Biologiche |
| spelling | doaj.art-c54d740b8aba44958bb98a865df882ae2022-12-21T20:31:55ZengAccademia Peloritana dei PericolantiAtti della Accademia Peloritana dei Pericolanti - Classe di Scienze Medico-Biologiche0365-02941828-65502018-06-01106110.6092/1828-6550/APMB.106.1.2018.A51443Incidentally discovered enteric duplication cyst: a case reportFlora Maria Peri0Pietro Impellizzeri1Salvatore Arena2Valeria Barresi3Patrizia Perrone4Carmelo Romeo5Department of Human Pathology of Adult and Childhood “G.Barresi”- Unit of Pediatric Surgery - University of MessinaDepartment of Human Pathology of Adult and Childhood “G.Barresi”- Unit of Pediatric Surgery - University of MessinaDepartment of Human Pathology of Adult and Childhood “G.Barresi”- Unit of Pediatric Surgery - University of MessinaDepartment of Human Pathology of Adult and Childhood “G.Barresi”- Unit of Pediatric Surgery - University of MessinaDepartment of Human Pathology of Adult and Childhood “G.Barresi”- Unit of Pediatric Surgery - University of MessinaDepartment of Human Pathology of Adult and Childhood “G.Barresi”- Unit of Pediatric Surgery - University of MessinaEnteric duplications are rare congenital diseases with heterogeneous clinical pictures ranging from an asymptomatic course to life-threatening consequences, most commonly arising at the ileal and ileocecal region. The antenatal discovery is possible when it concerns a voluminous cystic form enabling an early management. The radiologic examinations are nonspecific and no diagnostic tools can allow a certain diagnosis on its own. Sometimes, the diagnosis of intestinal duplication is only made during the surgical exploration and confirmed after a histopathological examination. We report a 4 years old girl with antenatal diagnosed ovarian cystic mass of about 4 mm. She was admitted to our unit for abdominal pain and constipation. Abdominal ultrasonography showed a cystic mass in the right iliac fossa. MRI revealed a well-defined cystic mass (6 x 4.2 x 5.4 cm) in the right mid abdomen displacing the bowel to the left, likely to be strongly adherent to the last part of the ileum. 99mtc pertechnetate scan was negative for ectopic gastric mucosa. A laparoscopic approach was eventually necessary and the diagnosis of duplication cyst was confirmed. Children with antenatal diagnosis of abdominal mass need a close follow up and enteric duplication should be considered as potential diagnosis. The laparoscopic approach has an important role in differential diagnosis between intestinal duplications and other mass.http://cab.unime.it/journals/index.php/APMB/article/view/1854enteric duplicationileocecal resectionileocecal valve/junctionabdominal mass |
| spellingShingle | Flora Maria Peri Pietro Impellizzeri Salvatore Arena Valeria Barresi Patrizia Perrone Carmelo Romeo Incidentally discovered enteric duplication cyst: a case report Atti della Accademia Peloritana dei Pericolanti - Classe di Scienze Medico-Biologiche enteric duplication ileocecal resection ileocecal valve/junction abdominal mass |
| title | Incidentally discovered enteric duplication cyst: a case report |
| title_full | Incidentally discovered enteric duplication cyst: a case report |
| title_fullStr | Incidentally discovered enteric duplication cyst: a case report |
| title_full_unstemmed | Incidentally discovered enteric duplication cyst: a case report |
| title_short | Incidentally discovered enteric duplication cyst: a case report |
| title_sort | incidentally discovered enteric duplication cyst a case report |
| topic | enteric duplication ileocecal resection ileocecal valve/junction abdominal mass |
| url | http://cab.unime.it/journals/index.php/APMB/article/view/1854 |
| work_keys_str_mv | AT floramariaperi incidentallydiscoveredentericduplicationcystacasereport AT pietroimpellizzeri incidentallydiscoveredentericduplicationcystacasereport AT salvatorearena incidentallydiscoveredentericduplicationcystacasereport AT valeriabarresi incidentallydiscoveredentericduplicationcystacasereport AT patriziaperrone incidentallydiscoveredentericduplicationcystacasereport AT carmeloromeo incidentallydiscoveredentericduplicationcystacasereport |