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DOI: 10.1055/a-2068-8372
Successful treatment of a colonic cyst by endoscopic aspiration and sclerotherapy
A 38-year-old man presented to our department with constipation that had persisted for 2 years. Upon colonoscopy, we discovered a smooth protrusion (about 2 cm × 2 cm) at the hepatic flexure of his colon ([Fig. 1]). Anechoic ultrasonic colonoscopy was suggestive of a cyst. A transparent puncture needle was used to puncture into the cyst cavity and a syringe was used to aspirate the cyst fluid ([Video 1]). After sufficient aspiration, we verified the disappearance of the cyst ([Fig. 2]) and 2 ml of yellow cyst fluid ([Fig. 3]). Subsequently, 2 ml of polidocanol-methylene blue mixture was injected into the cyst cavity through the puncture needle ([Video 1]). A 6-month follow-up colonoscopy revealed no cyst at the hepatic flexure of the patient’s colon ([Fig. 4], [Video 1]).
Video 1 Successful treatment of a colonic cyst by endoscopic aspiration and sclerotherapy.
Quality:
Colonic cysts are benign lesions associated with chronic constipation and abdominal pain [1]. However, colonic cysts must be surgically removed if they become large to prevent intestinal obstruction or intussusception [1] [2]. Aspiration plus sclerotherapy is considered a safe and effective treatment for simple hepatic cysts [3]. We are unsure whether such therapy would be safe and effective for a colonic cyst because of the thinness of colon tissue and possibility of perforation. Herein, we reported the successful and uneventful aspiration and sclerotherapy of a colonic cyst.
Endoscopy_UCTN_Code_CCL_1AD_2AI
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Competing interests
The authors declare that they have no conflict of interest.
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References
- 1 Shrestha S, Adhikari SK. Colonic duplication cyst in an adult woman: a case report. JNMA J Nepal Med Assoc 2020; 58: 948-950
- 2 Reiser-Erkan C, Erkan M, Ulbrich E. et al. Cystic colon duplication causing intussusception in a 25-year-old man: report of a case and review of the literature. BMC Surg 2010; 10: 19
- 3 Furumaya A, van Rosemalen BV, de Graeff JJ. et al. Systematic review on percutaneous aspiration and sclerotherapy versus surgery in symptomatic simple hepatic cysts. HBP (Oxford) 2021; 23: 11-24
Corresponding author
Publication History
Article published online:
26 April 2023
© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
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References
- 1 Shrestha S, Adhikari SK. Colonic duplication cyst in an adult woman: a case report. JNMA J Nepal Med Assoc 2020; 58: 948-950
- 2 Reiser-Erkan C, Erkan M, Ulbrich E. et al. Cystic colon duplication causing intussusception in a 25-year-old man: report of a case and review of the literature. BMC Surg 2010; 10: 19
- 3 Furumaya A, van Rosemalen BV, de Graeff JJ. et al. Systematic review on percutaneous aspiration and sclerotherapy versus surgery in symptomatic simple hepatic cysts. HBP (Oxford) 2021; 23: 11-24