Pediatr Gastroenterol Hepatol Nutr.  2017 Sep;20(3):194-197. 10.5223/pghn.2017.20.3.194.

Giant Duplication Cyst Presenting as a Discharging Umbilicus

Affiliations
  • 1Department of Pediatric Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India. monikabawa@hotmail.com

Abstract

Alimentary tract duplication cysts are rare congenital anomalies, most commonly located in the ileum, but may present anywhere from mouth to anus.Clinically, they may be asymptomatic, incidentally diagnosed or may present with obstruction, volvulus, intussusception or gastrointestinal bleed. Here we report a case of a one year old male child presenting in gasping state and shock. Despite the initial strong suspicion of Meckel's diverticulum and tubercular abdomen, the final diagnosis remained elusive till exploratory laparotomy was performed which revealed a duplication cyst of ileum with perforation into the umbilicus. Duplication cyst should always be kept as a differential diagnosis so that early intervention can help in better management.

Keyword

Duplication cyst; Ileum; Ascites; Umblicus; Gastrointestinal bleed

MeSH Terms

Abdomen
Ascites
Child
Diagnosis
Diagnosis, Differential
Early Intervention (Education)
Humans
Ileum
Intestinal Volvulus
Intussusception
Laparotomy
Male
Meckel Diverticulum
Mouth
Shock
Umbilicus*
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