Pediatric Gastroenterology, Hepatology & Nutrition

The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition (대한소아소화기영양학회)
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Giant Duplication Cyst Presenting as a Discharging Umbilicus

  • Garg, Ravi Kumar (Department of Pediatric Surgery, Post Graduate Institute of Medical Education and Research) ;
  • Bawa, Monika (Department of Pediatric Surgery, Post Graduate Institute of Medical Education and Research) ;
  • Rao, Katragadda Lakshmi Narasimha (Department of Pediatric Surgery, Post Graduate Institute of Medical Education and Research)
  • Received : 2016.07.04
  • Accepted : 2016.09.27
  • Published : 2017.09.30
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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.

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References

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