Volume : 08, Issue : 12, December – 2021

Title:

37.ENTERIC DUPLICATION CYST; A UNIQUE CLINICAL PRESENTATION IN AN ADULT FEMALE

Authors :

Fedaa Abdulwahab, Suhair Al Saad, Khalid Al-Sindi*, Hamdi Al Shinawi and Dina Al Sibaie, Mohammed Qamber

Abstract :

Enteric Duplication Cysts (EDC) are rare congenital malformations, can occur in any part of the gastrointestinal tract and share the muscular wall as well as the common mesenteric vascular supply of the hosting segment. EDC usually become apparent in early childhood but rarely encountered in adults. These malformations can be asymptomatic; however, in adults can be troublesome and associated with several symptomatic complications. In this paper, we report a unique case of a huge ruptured right paracolic duplication cyst in a 32-year-old female who presented with a chief complaint of a right sided abdominal pain and severe constipation. Based upon computed tomography, a Para-colonic duplication cyst of the right colon was tentatively diagnosed. The cyst which appeared non-communicating to the hosting colonic segment was resected laparoscopically, however, shortly afterward; the patient developed a caecal perforation indicating a limited right hemicolectomy. After case discussion, a dedicated part of literature review is also covered.
Keywords: Enteric; Duplication; Cyst; Colon; Symptomatic; Complications; Adult patients

Cite This Article:

Please cite this article in press Fedaa Abdulwahab et al, Enteric Duplication Cyst; A Unique Clinical Presentation In An Adult Female., Indo Am. J. P. Sci, 2021; 08(12).

Number of Downloads : 10

References:

1. Zahir S, Yusaf F, Zada M, Asif N, Akhtar, Abbasi MZ. Duplication cyst in a new born. Int J Pathol. 2010; 8(2):84-6.
2. Tong SC, Pitman M, Anupindi SD. Best cases from the AFIP: ileocecal enteric duplication cyst: radiologicpathologic correlation. Radiographics. 2002;22(5):1217-22.
3. Choi SO, Park WH, Kim SP. Enteric duplications in children-an analysis of 6 cases. J Korean Med Sci. 1993;8(6):482-7.
4. Ríos SS, Noia JL, Nallib IA, et al. Adult gastric duplication cyst: diagnosis by endoscopic ultrasoundguided fine-needle aspiration (EUS-FNA). Rev Esp Enferm Dig. 2008;100(9):586-90.
5. Puligandla PS, Nguyen LT, St-Vil D, Flageole H, Bensoussan AL, Nguyen VH, Laberge. Gastrointestinal duplications. JM J Pediatr Surg. 2003;38(5):740-4.
6. Mourra N, Chafai N, Bessoud B, Reveri V, Werbrouck A, Tiret E. Colorectal duplication in adults: report of seven cases and review of the literature. J Clin Pathol. 2010;63(12):1080-3.
7. Spottswood SE. Peristalsis in duplication cyst: a new diagnostic sonographic finding. Pediatr Radiol. 1994; 24(5):344-5.
8. Reiser-Erkan C, Erkan M, Ulbrich E, Nährig J, Kleeff J. Cystic colon duplication causing intussusception in a 25-year-old man: report of a case and review of the literature. BMC Surg. 201;10:19.
9. Kim SK, Lim HK, Lee SJ, Park CK. Completely isolated enteric duplication cyst: case report. Abdominal Imaging. 2003;28(1):12-4.
10. Srivastava P, Gangopadhyay AN, Kumar V, Upadhyaya VD, Sharma SP, Jaiman RP, et al. Noncommunicating isolated enteric duplication cyst in childhood. J Pediatr Surg. 2009;44(7):e9-e10.
11. Choi SO, Park WH, Kim SP. Enteric duplications in children-an analysis of 6 cases. J Korean Med Sci. 1993;8(6):482-7.
12. Blank G, Konigsrainer A, Sipos B, Ladurner R. Adenocarcinoma arising in a cystic duplication of the small bowel: case report and review of literature. World J Surg Oncol. 2012;10.
13. Jessica Leigh Baumann, Charmi Patel. Enteric duplication cyst containing squamous and respiratory epithelium: an interesting case of a typically pediatric entity presenting in an adult patient. Case Rep Gastrointest Med. 2014;2014:790326.
14. Dombale V, Patil BV, Kadam SA, Kerudi BH. Enteric duplication cyst of caecum presenting with intestinal obstruction-a case report. J Krishna Institute of Med Sci University. 2012;1(2):147-9.