Cecal Duplication Cyst: A Cause of Intestinal Obstruction in a Newborn Infant

Abstract

Intestinal obstruction is the most common surgical emergency in newborn infants. We report a case of cecal duplication cyst (CDC) as a cause of intestinal obstruction in a newborn infant. Prenatal ultrasonography (US) had shown an intra-abdominal cyst that was confirmed by the first postnatal US. Water-soluble contrast enema and a repeat US showed an intracecal cyst, however, the diagnosis of CDC was only established at laparotomy. CDC should be considered in the differential diagnosis of intestinal obstruction in an infant with an intra-abdominal cyst on US and a palpable right iliac fossa mass.

Keywords

Cecal duplication cyst - intestinal obstruction - ultrasonography - mobile mass

• REFERENCES

• 1 Ildstad ST, Tollerud DG, Weiss RG, Ryan DP, McGowan MA, Martin LW. Duplications of the alimentary tract. Clinical characteristics, preferred treatment, and associated malformations. Ann Surg 1988; 208: 184-189
• 2 Puligandla PS, Nguyen LT, Flageole SH, Bensoussan AL, Nguyen VH, Laberge JM. Gastrointestinal duplication. J Pediatr Surg 2003; 38: 740-744
• 3 Iyer CP, Mahour GH. Duplications of the alimentary tract in infants and children. J Pediatr Surg 1995; 30: 1267-1270
• 4 Sonoda N, Matsuzaki S, Ono A. et al. Duplication of the caecum in a neonate simulating intussusception. Pediatr Radiol 1985; 15: 427-428
• 5 Kum CK, Prabhakaran K, Lee YS, Fok E. Cystic duplication of the caecum mimicking intussusception. J Singapore Paediatr Soc 1991; 33: 37-39
• 6 Chen Y, Ni YH, Chen CC. Neonatal intussusception due to a cecal duplication cyst. J Formos Med Assoc 2000; 99: 352-353
• 7 Martins JL, Cury EK, Petrilli AS, Martins EC, Neto G. Cecal duplication causing a disappearing abdominal mass in an infant. J Pediatr Surg 2001; 36: 1581-1583