Pediatric Surgery, All India Institute of Medical Sciences, Patna, India
Pediatric Surgery, All India Institute of Medical Sciences, Patna, India.
BMJ Case Rep. 2024 Aug 3;17(8):e260793. doi: 10.1136/bcr-2024-260793.
Enteric duplication has cystic and tubular varieties. A male infant presented with a large cystic, well-demarcated mass in the right flank. On exploratory laparotomy, multiple cystic and tubular lesions were present adjacent to the mesenteric border of the small bowel along with malrotation of the small bowel. The tubule-cystic structure was excised along with the involved normal bowel segment and Ladd's procedure was performed. Histopathological evaluation revealed an intestinal duplication cyst. The occurrence of midgut malrotation and volvulus along with duplication is uncommon. The cyst's substantial size could have been an aetiological factor for malrotation and volvulus. The child's small bowel had adapted remarkably with time. This case highlights a new variant of duplication cysts.
肠重复畸形有囊状和管状两种类型。一名男婴右侧肋腹部出现一个大的囊性、边界清楚的肿块。剖腹探查时，发现多个囊性和管状病变位于小肠肠系膜边缘附近，同时伴有小肠旋转不良。管状-囊状结构与受累的正常肠段一起被切除，并进行了 Ladd 手术。组织病理学评估显示为肠重复畸形囊肿。中肠旋转不良和旋转合并重复畸形并不常见。囊肿的大体积可能是导致旋转不良和扭转的病因之一。随着时间的推移，患儿的小肠已经显著适应。本病例突出了一种重复囊肿的新变体。
