General Pediatrics, Okinawa Prefectural Nanbu Medical Center & Children's Medical Center, Haebaru-cho, Okinawa, Japan.
General Pediatrics, Okinawa Prefectural Nanbu Medical Center & Children's Medical Center, Haebaru-cho, Okinawa, Japan
BMJ Case Rep. 2023 May 29;16(5):e252524. doi: 10.1136/bcr-2022-252524.
A toddler girl was diagnosed with intra-abdominal simple cyst in the splenic flexure at the gestational period. Due to a severe fever that persisted for 6 days, she was admitted to the emergency room. The diagnosis of intraperitoneal cyst infection was made after contrast-enhanced CT revealed an enlarged cyst and a heterogeneous contrast effect on the cyst wall. A double-wall sign was observed on the cyst wall during continuous ultrasound follow-up, which led to the preoperative diagnosis of the cyst as a duplication cyst. The double-wall sign and cyst peristalsis were identified via successive ultrasound examinations to support the cyst diagnosis. Identifying a duplication cyst based solely on symptoms alone is difficult because the condition may present in different ways.
一名女婴在妊娠期被诊断为脾曲处腹腔单纯性囊肿。因持续发热 6 天，她被紧急收入院。增强 CT 显示囊肿增大且囊壁不均匀强化，提示腹腔囊肿感染，明确诊断。连续超声随访过程中发现囊壁呈“双层壁征”，术前考虑为重复囊肿。连续超声检查发现囊壁“双层壁征”和囊肿蠕动，支持囊肿诊断。由于该病可能有不同的表现形式，仅根据症状很难确诊为重复囊肿。
