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Duplication Cyst in an 11-Year-Old Presenting as Acute Intestinal Obstruction: A Case Report |
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G Raghavendra Prasad, Abdullah Umayr Khan, Maryam Amjad 1. Professor, Department of Paediatric Surgery, Princess Esra Hospital, Deccan College of Medical Sciences, Hyderabad, Telangana, India. 2. Junior Resident, General Surgery, Princess Esra Hospital, Deccan College of Medical Sciences, Hyderabad, Telangana, India. 3. Intern, Department of General Surgery, Deccan College of Medical Sciences, Hyderabad, Telangana, India. |
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Correspondence Address : 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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| ABSTRACT |  | ||||||
: 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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| Keywords : Adhesions, Anastomosis, Embryology, Histopathology, Ileum, Laparotomy, Paediatrics, Radiography | |||||||
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DOI and Others :
DOI: 10.7860/IJARS/2025/77980.3056
Date of Submission: Jan 10, 2025 Date of Peer Review: Apr 29, 2025 Date of Acceptance: May 30, 2025 Date of Publishing: Jul 01, 2025 AUTHOR DECLARATION: • Financial or Other Competing Interests: None • Was informed consent obtained from the subjects involved in the study? Yes • For any images presented appropriate consent has been obtained from the subjects. Yes PLAGIARISM CHECKING METHODS: • Plagiarism X-checker: Jan 11, 2025 • Manual Googling: May 21, 2025 • iThenticate Software: May 29, 2025 (9%) ETYMOLOGY: Author Origin EMENDATIONS: 6 |
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Case report
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