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 |
Caecum, Gastrointestinal Duplication Cysts, Surgical Excision
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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
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
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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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}
}
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 Y1 - 2020/03/10 PY - 2020 N1 - https://doi.org/10.11648/j.ajp.20200602.17 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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