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Year :2025
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Month :
July-August
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Volume :
14
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Issue :
4
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Page :
SC04 - SC05
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Duplication Cyst in an 11-Year-Old Presenting as Acute Intestinal Obstruction: A Case Report
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Correspondence Address :
G Raghavendra Prasad, Abdullah Umayr Khan, Maryam Amjad,
Dr. G Raghavendra Prasad,
Professor, Department of Paediatric Surgery, Princess Esra Hospital, Deccan College of Medical Sciences, Hyderabad-500002, Telangana, India.
E-mail: grprasad22@gmail.com
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Introduction: Gastrointestinal (GI) duplication cysts are uncommon congenital anomalies that may present with intestinal obstruction, GI bleeding, or malabsorption. Duplication cysts smaller than 1 cm are rarely reported and are seldom implicated in causing obstruction. We report the case of an 11-year-old boy who presented with acute intestinal obstruction, characterised by bilious vomiting, abdominal pain, and distension. Contrast-Enhanced Computed Tomography (CECT) revealed features of distal ileal obstruction, although the underlying aetiology was not visualised. Intraoperatively, a 6.5 mm cystic lesion was identified on the mesenteric border of the ileum, leading to kinking and obstruction due to surrounding adhesions. Wedge resection with end-to-end anastomosis was performed. Histopathological examination confirmed the lesion as an enteric duplication cyst. This appears to be the first documented case of such a small duplication cyst causing mechanical intestinal obstruction, in contrast to the typically larger lesions reported in the literature. The child was followed-up for three months postoperatively, during which he remained asymptomatic and showed normal growth and development. This case highlights the diagnostic and therapeutic challenges posed by small, radiologically occult duplication cysts.
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