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

Aniruddha Basak, Arindam Ghosh, Prafulla Kumar Mishra


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.


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

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Kim YS, Kim DJ, Bang SU, Park JJ. Intestinal duplication cyst misdiagnosed as meckel’s diverticulum. Chin Med J Engl. 2016;129:235‑6.

Hata H, Hiraoka N, Ojima H, Shimada K, Kosuge T, Shimoda T, et al. Carcinoid tumor arising in a duplication cyst of the duodenum. Pathol Int. 2006;56:272‑8.

Ladd AP, Grosfeld JL. Gastrointestinal tumors in children and adolescents. Semin Pediatr Surg. 2006;15:37‑47.

Basany L, Aepala R, Mohan MR, Chitneni M. Intestinal Obstruction due to Ileal Duplication Cyst and Malrotation in a Preterm Neonate. J Neonat Surg. 2015;4(4):48-9.

Lee NK, Kim S, Jeon TY, Kim HS, Kim DH, Seo HI, et al. Complications of congenital and developmental abnormalities of the gastrointestinal tract in adolescents and adults: Evaluation with multimodality imaging. Radiographics. 2010;30:1489‑507.

Aggarwal H, Singh S, Patidar N. Multiple intraabdominal cysts could be a duplication of intestine: a case report and treatment protocol. Internet J Surg. 2007;15:2‑5.

Kuo HC, Lee HC, Shin CH, Sheu JC, Chang PY, Wang NL, et al. Clinical spectrum of alimentary tract duplication in children. Acta Paediatr Taiwan. 2004;45:85‑8.

Tamvakopoulos GS, Sams V, Preston P, Stebbings WS. Iron-deficiency anaemia caused by an enterolith-filled jejunal duplication cyst. Ann Royal Coll Surg Engl. 2004 Nov;86(6):W49-51.

Puligandla PS, Nguyen LT, St-Vil D, Flageole H, Bensoussan AL, Nguyen VH, et al. Gastrointestinal duplications. J Pediatr Surg. 2003;38:740‑4.

Shah N, Lizardo-Escaño T, Shaaban H, Dhadham G, Karki A, Spira R, et al. Enterogenous cyst of the small bowel causing intussusception in an adult: Case report and review of literature. J Nat Sci Biol Med. 2015;6:208‑10.