Ileal duplication cyst: a rare cause of intestinal obstruction in infants

Aniruddha Basak; Arindam Ghosh; Prafulla Kumar Mishra

doi:10.18203/2349-3291.ijcp20200705

Authors

Aniruddha Basak Department of Pediatric Surgery, Nilratan Sircar Medical College and Hospital, Kolkata, West Bengal, India
Arindam Ghosh Department of Pediatric Surgery, Nilratan Sircar Medical College and Hospital, Kolkata, West Bengal, India
Prafulla Kumar Mishra Department of Pediatric Surgery, Nilratan Sircar Medical College and Hospital, Kolkata, West Bengal, India

DOI:

https://doi.org/10.18203/2349-3291.ijcp20200705

Keywords:

Exploratory laparotomy, Ileal duplication cyst, Intestinal obstruction, Resection anastomosis

Abstract

Ileal duplication cyst (IDC) is a rare congenital anomaly where there is an abnormal portion of intestine attached to or intrinsic with the normal bowel. A 6-month-old male child presented with obstipation and bilious vomiting at emergency. X-ray abdomen showed multiple air fluid level suggestive of intestinal obstruction. Laparotomy was performed. Diagnosis of IDC was made and resection with primary anastomosis was done. Post-operative period was uneventful, and patient did well during 3 month follow-up checkup. IDC is a rare cause of intestinal obstruction which can present with different clinical symptoms posing a diagnostic dilemma. Diagnostic laparotomy is a suitable approach for both diagnosis and treatment to avoid delays in treatment where imaging method is unavailable for exact diagnosis.

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