Original Articles
Surgical management of enteric duplication cysts in children | |
Dr. Ratnakar, Dr. Abhijit Indrasingh Morwal, Dr. Pritam Paul, Dr. Jaydeep Bariya | |
Background: Enteric duplication cysts (EDCs) are rare congenital anomalies that are typically found along the gastrointestinal tract, most commonly in the small intestine. The present study was conducted to assess cases of enteric duplication cysts in children. Materials &Methods: 24 patients who were clinically diagnosed and proved on histopathological examination to be of enteric duplication cysts were enrolled. Clinical presentation, radiological features, operative findings and histopathology report were recorded. All cases were managed surgically. Results: Out of 24 patients, 16 were males and 8 were females. Out of 24 cases, age group 2-4 years had 1, 4-7 years had 10 and 7-10 years had 13 cases. The difference was significant (P< 0.05). Clinical presentation was abdominal pain in 20, bilious vomiting in 15, jaundice in 7, abdominal lump in 13. Surgical procedure performed was cyst excision with end to end anastomosis in 5, excision of the cyst along with excision of the segment of sigmoid colon in 7, excision of the cystic mass in 6 and excision of the cyst along with excision of the ileal segment in 6 cases. Microscopic examination showed cyst wall lined by gastric mucosa in 5, colonic duplication cyst containing large intestinal mucosa in 7, cyst wall lined by rectal mucosa in 4, and cyst lined by ileal mucosa in 8 cases. Final diagnosis was pyloroduodenal duplication cyst in 4, colonic duplication cyst in 7, ileal duplication cyst in 8 and rectal duplication cyst in 5 cases. The difference was non- significant (P> 0.05). Conclusion: Since this rare congenital defect can manifest in a variety of clinical manifestations and can result in serious morbidity and even death if treatment is not received, it is crucial to recognize it and make a conclusive diagnosis. |
|
Abstract View | Download PDF | Current Issue |
IJLBPR
322 Parlount Road Slough Berkshire SL3 8AX, UK
ijlbpr@gmail.com
© IJLBPR. All Rights Reserved.