A rare case of acute abdomen in the adult: The intestinal duplication cyst. case report and review of the literature.

Authors:
Nicola Sforza
Nicola Sforza
Università di Modena e Reggio Emilia
Donatella Mosca
Donatella Mosca
Università degli Studi di Modena e Reggio Emilia
Francesco Serra
Francesco Serra
University of Modena and Reggio Emilia
Francesca Cabry
Francesca Cabry
University of Modena and Reggio Emilia
Italy

Ann Med Surg (Lond) 2019 Apr 12;40:18-21. Epub 2019 Mar 12.

Department of Surgery, University of Modena and Reggio Emilia, Policlinico of Modena, Via del Pozzo, 71 41100, Modena, Italy.

Introduction: Duplications of the gastrointestinal tract are rare congenital anomalies that can occur anywhere throughout the gastrointestinal tract. The reported incidence is 1/4500, and more than 80% occurs before the age of two as an acute abdomen or bowel obstruction. The most common site is Ileum (60%), while the colonic localisation is reported between 4 and 18%.

Presentation Of The Case: Herein we report the case of a 35-year-old man, presented at the Emergency Department with fever and localised abdominal pain in the right iliac fossa. Preoperative abdominal ultrasound and CT scan showed a cystic mass of 44 × 43 × 70 mm adjoining the posterior wall of the right colon. He underwent explorative laparoscopy, laparotomy conversion, right hemicolectomy with an intra-operative diagnosis of colonic duplication cyst, confirmed by histology.

Discussion: The review of the literature showed as the intestinal duplication cysts are rare congenital anomalies. The clinical presentation is variable and depends on the site and the related complications. A surgical approach based on the resection of the involved bowel tract is the treatment associated with the best long-term outcomes.

Conclusion: It is important to include intestinal duplication in the differential diagnosis of acute abdomen, to ensure the best therapeutic strategy.

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Source
http://dx.doi.org/10.1016/j.amsu.2019.03.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426707PMC

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April 2019
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