Kim Seung Mo, Lee Sun Hyang, Park Ga Young, Kim Sung Shin, Lee Cheol Gu, Jin Soo Ji
Department of Pediatrics, Soonchunhyang University Bucheon Hospital, Soochunhyang University College of Medicine, Bucheon 14584, Gyeonggi-do, South Korea.
Department of General Surgery, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon 14584, GyeongGi-Do, South Korea.
World J Clin Cases. 2023 Oct 6;11(28):6931-6937. doi: 10.12998/wjcc.v11.i28.6931.
Although intestinal obstruction is one of the most common surgical emergencies in an infant, it is difficult to diagnose neonatal enteric duplication cysts (EDC) preoperatively owing to their rarity as a cause of intestinal obstruction. We describe a case report of a neonatal EDC presenting intestinal obstruction and shock.
A 32-d-old male infant with a prenatal sonographic finding of bladder distension was admitted to our hospital for a severely distended abdomen, fever, and oliguria. The first diagnostic hypothesis was septic shock and intestinal obstruction. The patient's symptoms worsened; following an emergency surgical exploratory laparotomy and histopathological findings, the final diagnosis of cecal duplication cyst was confirmed. The patient's postoperative course was uneventful, and on the fifth postoperative day, oral feeding restarted. Twenty days later, the patient was discharged from the hospital.
Although EDC located in the cecum is exceptional, it should be considered when evaluating suspected intestinal obstruction and shock.
尽管肠梗阻是婴儿最常见的外科急症之一，但新生儿肠重复囊肿（EDC）作为肠梗阻的病因较为罕见，术前难以诊断。我们报告一例表现为肠梗阻和休克的新生儿EDC病例。
一名32日龄男婴，产前超声检查发现膀胱扩张，因腹部严重膨隆、发热和少尿入院。首要诊断假设为感染性休克和肠梗阻。患者症状加重；经急诊手术探查性剖腹术及组织病理学检查，最终确诊为盲肠重复囊肿。患者术后恢复顺利，术后第5天重新开始经口喂养。20天后，患者出院。
尽管位于盲肠的EDC较为罕见，但在评估疑似肠梗阻和休克时应予以考虑。
