Zaiem Aida, Atri Souhaib, Fteriche Fadhel Samir, Frikha Wassim, Haddad Anis, Kacem Montassar
Hôpital la Rabta, Tunis, Tunisia.
Hôpital la Rabta, Tunis, Tunisia.
Int J Surg Case Rep. 2024 May;118:109606. doi: 10.1016/j.ijscr.2024.109606. Epub 2024 Apr 4.
Intestinal duplication is an uncommon congenital malformation affecting the alimentary tract. This article presents a case of enteric duplication cyst (EDC) in an adult, accompanied by a review of the available literature.
A 34-year-old woman with polymyositis underwent a routine CT scan as part of her medical assessment revealing an 8 cm mass near the caecum and terminal ileum. Diagnostic procedures confirmed a cystic spherical mass. The patient underwent ileo-cecal resection, with primary anastomosis and an uneventful recovery.
Studies indicate that the frequency of polymyositis coexisting with a neoplasm range from 6 % to 40 %. Therefore, a body CT scan is recommended for patients with myopathy as in our patient. Intestinal duplications are predominantly found in children but can also occur in adults, often discovered incidentally or due to complications. Diagnostic imaging techniques, such as ultrasonography and CT scan, are crucial in identifying duplication location and characteristics. In this case, colonoscopy indicated ileocecal valve compression, and histological examination confirmed an enteric duplication cyst with ectopic gastric mucosa.
Enteric duplication cysts are rare, and the existing literature on the topic somewhat limited. Early diagnosis and surgical intervention are essential to stave off potential complications and reduce morbidity. Clinician awareness of enteric duplication cysts enables timely management, enhancing patient outcomes. Further research is needed to improve understanding and optimize patient care.
肠道重复畸形是一种影响消化道的罕见先天性畸形。本文介绍了一例成人肠道重复囊肿（EDC）病例，并对现有文献进行了综述。
一名患有多肌炎的34岁女性在进行常规医学评估的CT扫描时，发现盲肠和回肠末端附近有一个8厘米的肿块。诊断程序证实为囊性球形肿块。患者接受了回盲部切除术，一期吻合，恢复顺利。
研究表明，多肌炎与肿瘤共存的发生率在6%至40%之间。因此，正如我们的患者一样，建议对患有肌病的患者进行全身CT扫描。肠道重复畸形主要见于儿童，但也可发生于成人，常为偶然发现或因并发症而发现。超声检查和CT扫描等诊断成像技术对于确定重复畸形的位置和特征至关重要。在本病例中，结肠镜检查显示回盲瓣受压，组织学检查证实为伴有异位胃黏膜的肠道重复囊肿。
肠道重复囊肿罕见，关于该主题的现有文献有限。早期诊断和手术干预对于避免潜在并发症和降低发病率至关重要。临床医生对肠道重复囊肿的认识有助于及时处理，改善患者预后。需要进一步研究以增进理解并优化患者护理。
