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Duplication Cysts in Caecum in Three Months Old Girl

Received: 12 February 2020     Accepted: 25 February 2020     Published: 10 March 2020
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Abstract

Gastrointestinal duplication cysts are rare congenital anomalies. It can occur in any part of the alimentary tract but they are rare in the caecum. The reported incidence is 1:4.500 births. The exact etiology is unknown. There is no common clinical pattern of signs and symptoms of duplications. The perioperative diagnosis duplication of cysts are often inaccurate. Histopathological examination enables us to confirm the diagnosis. Resection is the treatment of choice with an excellent outcome. The aim of this case report was to describe the clinical presentation and treatment of duplication cysts. A three months old girl had abdominal distention since 7 days before admitted to the hospital. This complaint was accompanied with fever and vomiting. She couldn’t have defecation and had history of black greenish feces. Physical examination revealed distended abdomen and decreased of bowel sound. Laboratory investigation showed normal features, abdominal X-Ray found enlargement of the intestine with increasing of the gas distribution and ground glass appearance. We diagnosed the patient with observation of abdominal distention caused by suspect ileus paralysis with different diagnosis hirschsprung disease. After the diagnosis, laparotomy exploration were performed. During surgical procedure, the surgeon found duplication cysts in the caecum area, then they performed resection with end to end anastomose and took the tissue for biopsy. The biopsy result was duplication cysts. Nine days after surgery, the patient was discharged in good condition. A high index of suspicion for diagnosis duplication cysts was required and the result of surgical treatment was good.

Published in American Journal of Pediatrics (Volume 6, Issue 2)
DOI 10.11648/j.ajp.20200602.17
Page(s) 105-108
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Caecum, Gastrointestinal Duplication Cysts, Surgical Excision

References
[1] Sharma S, Yadav AK, Mandal AK, Zaher S, Yadav DK, Samie A. Enteric Duplication Cysts in Children: a clinicopathological dilemma. Journal of Clinical and Diagnostic Research. Vol. 9, No. 8, 2015, pp. 8-11.
[2] Zavras N, Christianakis E, Papakonstatinou D, Velaoras K, Tsilikas K, Ereikat K. Alimentary Tract Duplications in Infancy and Childhood: a 25-year experience with focus on rare types of the diasease. Open Journal of Pediatrics. Vol. 3, No. 4, 2013, pp. 324-30.
[3] Tiwari C, Shah H, Waghmare M, Makhija D, Khedkar K. Cysts of Gastrointestinal Origin in Children: varied presentation. Pediatric Gastroenterology Hepatology & Nutrition. Vol. 20, No. 2, 2017, pp. 94-99.
[4] Liu R, Adler DG. Duplication Cysts: diagnosis, management, and role of endoscopic ultrasound. Eusjournal. Vol. 3, No. 3, 2014, pp. 152-8.
[5] Elumalai G, Senguttuvan E. Intestinal duplication embryological and its clinical importance. Elixir Embryology. Vol. 103, 2017, pp. 45652-6.
[6] Jeziorczak PM, Warner BW. Enteric Duplication. Clinics in Colon and Rectal Surgery. Vol. 31, No. 2, 2018, pp. 127-31.
[7] Abdellaoui H, Mahmoudi A, Charki MT, Bouabdallah Y. Caecal Duplication Cyst: a rare cause of neonatal intestinal obstruction. BMJ. 2018, pp. 1-3.
[8] Jehangir s, Ninan PJ, Jacob TJ, Eapen A, Mathai J, Thomas RJ, et al. Enteric Duplication in Children: experience from a tertiary center in south india. Journal of Indian Association of Pediatric Surgeons. Vol. 20, No. 4, 2015, pp. 174-8.
[9] Nebot CS, Salvador RL, Palacios EC, Aliaga SP, Pradas VI. Enteric Duplication Cysts in Children: varied presentations, varied imaging findings. Insights Into Imaging. 2018, pp. 1-10.
[10] Mayer JP, Bettoli M. Alimentary Tract Duplications in New Borns and Children: diagnostic aspects and the role of laparoscopic treatment. World Journal of Gastroenterology. Vol. 20, No. 39, 2014, pp. 14263-7.
[11] Dombale V, Patil BV, Kerudi BH. Enteric Duplication Cyst of Caecum Presenting with Intestinal Obstruction – a Case Report. Journal of Khrishna Institute of Medical Sciences University. Vol. 1, No. 2, 2012, pp. 147-9.
[12] Ozay O, Cengiz F, Ekinci N, Celik SC, Kamer KE. Undetected Duplication Cyst of The Cecum until Adulthood. Journal of Clinical and Experimental Investigations. Vol. 9, No. 3, 2018, pp. 137-9.
[13] Singh VS, Shah PA, Roplekar PM, Sudhamani S, Desai P. Cecal Duplication Cyst: a rare case report with review literature. International Journal of Health & Allied Sciences. Vol. 5, No. 2, 2016, pp. 115-7.
[14] Rasool N, Safdar CA, Ahmad A, Kanwal S. Enteric Duplication in Children: clinical presentation and outcome. Singapore Medical Journal. Vol. 54, No. 6, 2013, pp. 343-6.
[15] Aggarwal H, Singh S, Patidar N. Multiple Intraabdominal Cysts Could be a Duplication of Intestine: a case report and treatment protocol. The Internet Journal of Surgery. Vol. 15, No. 2, 2007, pp. 1-4.
Cite This Article
  • APA Style

    Denis Fiolita, I Putu Gede Karyana, I Gusti Ngurah Sanjaya Putra, Ni Nyoman Metriani Nesa, Made Darmajaya, et al. (2020). Duplication Cysts in Caecum in Three Months Old Girl. American Journal of Pediatrics, 6(2), 105-108. https://doi.org/10.11648/j.ajp.20200602.17

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    ACS Style

    Denis Fiolita; I Putu Gede Karyana; I Gusti Ngurah Sanjaya Putra; Ni Nyoman Metriani Nesa; Made Darmajaya, et al. Duplication Cysts in Caecum in Three Months Old Girl. Am. J. Pediatr. 2020, 6(2), 105-108. doi: 10.11648/j.ajp.20200602.17

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    AMA Style

    Denis Fiolita, I Putu Gede Karyana, I Gusti Ngurah Sanjaya Putra, Ni Nyoman Metriani Nesa, Made Darmajaya, et al. Duplication Cysts in Caecum in Three Months Old Girl. Am J Pediatr. 2020;6(2):105-108. doi: 10.11648/j.ajp.20200602.17

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  • @article{10.11648/j.ajp.20200602.17,
      author = {Denis Fiolita and I Putu Gede Karyana and I Gusti Ngurah Sanjaya Putra and Ni Nyoman Metriani Nesa and Made Darmajaya and Kadek Deddy Ariyanta},
      title = {Duplication Cysts in Caecum in Three Months Old Girl},
      journal = {American Journal of Pediatrics},
      volume = {6},
      number = {2},
      pages = {105-108},
      doi = {10.11648/j.ajp.20200602.17},
      url = {https://doi.org/10.11648/j.ajp.20200602.17},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20200602.17},
      abstract = {Gastrointestinal duplication cysts are rare congenital anomalies. It can occur in any part of the alimentary tract but they are rare in the caecum. The reported incidence is 1:4.500 births. The exact etiology is unknown. There is no common clinical pattern of signs and symptoms of duplications. The perioperative diagnosis duplication of cysts are often inaccurate. Histopathological examination enables us to confirm the diagnosis. Resection is the treatment of choice with an excellent outcome. The aim of this case report was to describe the clinical presentation and treatment of duplication cysts. A three months old girl had abdominal distention since 7 days before admitted to the hospital. This complaint was accompanied with fever and vomiting. She couldn’t have defecation and had history of black greenish feces. Physical examination revealed distended abdomen and decreased of bowel sound. Laboratory investigation showed normal features, abdominal X-Ray found enlargement of the intestine with increasing of the gas distribution and ground glass appearance. We diagnosed the patient with observation of abdominal distention caused by suspect ileus paralysis with different diagnosis hirschsprung disease. After the diagnosis, laparotomy exploration were performed. During surgical procedure, the surgeon found duplication cysts in the caecum area, then they performed resection with end to end anastomose and took the tissue for biopsy. The biopsy result was duplication cysts. Nine days after surgery, the patient was discharged in good condition. A high index of suspicion for diagnosis duplication cysts was required and the result of surgical treatment was good.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Duplication Cysts in Caecum in Three Months Old Girl
    AU  - Denis Fiolita
    AU  - I Putu Gede Karyana
    AU  - I Gusti Ngurah Sanjaya Putra
    AU  - Ni Nyoman Metriani Nesa
    AU  - Made Darmajaya
    AU  - Kadek Deddy Ariyanta
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    PY  - 2020
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    DO  - 10.11648/j.ajp.20200602.17
    T2  - American Journal of Pediatrics
    JF  - American Journal of Pediatrics
    JO  - American Journal of Pediatrics
    SP  - 105
    EP  - 108
    PB  - Science Publishing Group
    SN  - 2472-0909
    UR  - https://doi.org/10.11648/j.ajp.20200602.17
    AB  - Gastrointestinal duplication cysts are rare congenital anomalies. It can occur in any part of the alimentary tract but they are rare in the caecum. The reported incidence is 1:4.500 births. The exact etiology is unknown. There is no common clinical pattern of signs and symptoms of duplications. The perioperative diagnosis duplication of cysts are often inaccurate. Histopathological examination enables us to confirm the diagnosis. Resection is the treatment of choice with an excellent outcome. The aim of this case report was to describe the clinical presentation and treatment of duplication cysts. A three months old girl had abdominal distention since 7 days before admitted to the hospital. This complaint was accompanied with fever and vomiting. She couldn’t have defecation and had history of black greenish feces. Physical examination revealed distended abdomen and decreased of bowel sound. Laboratory investigation showed normal features, abdominal X-Ray found enlargement of the intestine with increasing of the gas distribution and ground glass appearance. We diagnosed the patient with observation of abdominal distention caused by suspect ileus paralysis with different diagnosis hirschsprung disease. After the diagnosis, laparotomy exploration were performed. During surgical procedure, the surgeon found duplication cysts in the caecum area, then they performed resection with end to end anastomose and took the tissue for biopsy. The biopsy result was duplication cysts. Nine days after surgery, the patient was discharged in good condition. A high index of suspicion for diagnosis duplication cysts was required and the result of surgical treatment was good.
    VL  - 6
    IS  - 2
    ER  - 

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Author Information
  • Department of Child Health, Medical Faculty of Udayana University, Sanglah Hospital, Denpasar, Indonesia

  • Department of Child Health, Medical Faculty of Udayana University, Sanglah Hospital, Denpasar, Indonesia

  • Department of Child Health, Medical Faculty of Udayana University, Sanglah Hospital, Denpasar, Indonesia

  • Department of Child Health, Medical Faculty of Udayana University, Sanglah Hospital, Denpasar, Indonesia

  • Pediatric Surgery Division of Surgery Department, Medical Faculty of Udayana University, Sanglah Hospital, Denpasar, Indonesia

  • Pediatric Surgery Division of Surgery Department, Medical Faculty of Udayana University, Sanglah Hospital, Denpasar, Indonesia

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