|
1
|
Mashlah Q, Al Laham O, Odah Bashi H, Sharaf Aldeen R, Alashi S, Abdulkader M. Thoracoabdominal duplication accompanied by intestinal malrotation: a case report and literature review of a rare congenital anomaly in an infant. Ann Med Surg (Lond) 2024; 86:1166-1172. [PMID: 38333278 PMCID: PMC10849408 DOI: 10.1097/ms9.0000000000001654] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2023] [Accepted: 12/13/2023] [Indexed: 02/10/2024] Open
Abstract
Introduction and importance Thoracoabdominal duplication and intestinal malrotation are extremely rare congenital alimentary tract anomalies that can manifest in any segment of the gastrointestinal tract. Still, tubular duplications are an even rarer subset of alimentary tract duplications. Misdiagnosis could occur and this will yield devastating ramifications. Therefore, consideration in the clinical settings is warranted to aid in conducting timely therapeutic interventions. Case presentation In this article, we illustrate the overwhelmingly rare occurrence of thoracoabdominal duplication coexistent with intestinal malrotation in a 7-month-old male whose primary complaint was chronic dyspnoea since birth that progressed to involve cough and fever. Imaging analysis revealed a significant intrathoracic fluid-filled cyst. Clinical discussion The intestinal malrotation was treated through Ladd's procedure, and surgical excision of the duplicated segments was accomplished. The subsequent analysis of the resected specimens via means of histopathology utilizing Hematoxylin and Eosin dyes established the definitive diagnosis of a foregut duplication cyst. Conclusion Thoracoabdominal duplication is one of the most crucial topics in the field of Paediatric Surgery. It is exceptionally rare in occurrence, and the scarcity of available resources that document and describe this topic is evident in the published literature. The authors must opt to document, study, and broaden awareness regarding this life-threatening pathology so that they can circumvent the resultant complications by means of early detection and the performance of apt surgical interventions. Upon careful review of the available literature, we can state that ours is the first-ever case documented from their country regarding this topic and this co-incidence.
Collapse
Affiliation(s)
- Qusai Mashlah
- Faculty of Medicine
- Department of Pediatric Surgery, Children’s University Hospital
| | | | - Hajar Odah Bashi
- Faculty of Medicine
- Department of Pediatric Surgery, Children’s University Hospital
| | - Rahaf Sharaf Aldeen
- Faculty of Medicine
- Department of Surgery, Al-Mouwasat University Hospital
- Department of Surgery, Al Assad University Hospital, Damascus University, Damascus, (The) Syrian Arab Republic
| | | | - Mohammd Abdulkader
- Faculty of Medicine
- Department of Pediatric Surgery, Children’s University Hospital
| |
Collapse
|
|
2
|
Kim SM, Lee SH, Park GY, Kim SS, Lee CG, Jin SJ. Cecal duplication cyst in an infant presenting as shock: A case report. World J Clin Cases 2023; 11:6931-6937. [PMID: 37901014 PMCID: PMC10600866 DOI: 10.12998/wjcc.v11.i28.6931] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/14/2023] [Revised: 09/04/2023] [Accepted: 09/14/2023] [Indexed: 09/25/2023] Open
Abstract
BACKGROUND 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. CASE SUMMARY 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. CONCLUSION Although EDC located in the cecum is exceptional, it should be considered when evaluating suspected intestinal obstruction and shock.
Collapse
Affiliation(s)
- Seung Mo Kim
- Department of Pediatrics, Soonchunhyang University Bucheon Hospital, Soochunhyang University College of Medicine, Bucheon 14584, Gyeonggi-do, South Korea
| | - Sun Hyang Lee
- Department of Pediatrics, Soonchunhyang University Bucheon Hospital, Soochunhyang University College of Medicine, Bucheon 14584, Gyeonggi-do, South Korea
| | - Ga Young Park
- Department of Pediatrics, Soonchunhyang University Bucheon Hospital, Soochunhyang University College of Medicine, Bucheon 14584, Gyeonggi-do, South Korea
| | - Sung Shin Kim
- Department of Pediatrics, Soonchunhyang University Bucheon Hospital, Soochunhyang University College of Medicine, Bucheon 14584, Gyeonggi-do, South Korea
| | - Cheol Gu Lee
- Department of General Surgery, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon 14584, GyeongGi-Do, South Korea
| | - Soo Ji Jin
- Department of Pathology, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon 14584, GyeongGi-Do, South Korea
| |
Collapse
|
|
3
|
Thamri F, Sahli S, Houidi S, Aziza B, Jouini R. Thoraco-abdominal duplications in children: Two case reports. Int J Surg Case Rep 2021; 89:106651. [PMID: 34890978 PMCID: PMC8665331 DOI: 10.1016/j.ijscr.2021.106651] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2021] [Revised: 11/29/2021] [Accepted: 11/30/2021] [Indexed: 11/26/2022] Open
Abstract
INTRODUCTION Thoraco-abdominal duplication is rare congenital malformations of the notochord that occurs in only 2% of cases of alimentary tract duplications. We report two rare cases of thoraco-abdominal duplication, emphasizing the value of radiological assessment and discussing the place of diagnostic and therapeutic laparoscopy. PRESENTATION OF CASE It was a 12-year-old girl and an 8-month-old boy, admitted for epigastralgia and dysphagia with respiratory distress respectively. Imaging was in favor of pancreatic duplication with intra-thoracic extension for the first patient and gastro-esophageal duplication for the second. A mass excision was done laparoscopically for the first and by a thoracotomy for the second. The aftermath of the surgery was simple in both cases. CLINICAL DISCUSSION Thoraco-abdominal duplications are rare congenital malformations that account for only 2% of cases of gastrointestinal duplications. Their diagnosis is difficult since the revealing symptomatology is not common. The treatment is only surgical is facilitated by the laparoscopy which has a diagnostic and therapeutic interest. CONCLUSION Our case reports focused on the difficulty of the diagnosis that is done by imaging and is confirmed by surgery with anatomopathological examination of the excised mass. Diagnostic and therapeutic minimally invasive approach should be used whenever possible.
Collapse
Affiliation(s)
- Fatma Thamri
- Department of Pediatric Surgery "A", Children's Hospital of Tunis, University of Tunis El Manar, 13 Rue Jbel Lakhdhar, Beb Saadoun, Tunis 1029, Tunisia.
| | - Sondes Sahli
- Department of Pediatric Surgery "A", Children's Hospital of Tunis, University of Tunis El Manar, 13 Rue Jbel Lakhdhar, Beb Saadoun, Tunis 1029, Tunisia
| | - Senda Houidi
- Department of Pediatric Surgery "A", Children's Hospital of Tunis, University of Tunis El Manar, 13 Rue Jbel Lakhdhar, Beb Saadoun, Tunis 1029, Tunisia
| | - Bochra Aziza
- Department of Pediatric Surgery "A", Children's Hospital of Tunis, University of Tunis El Manar, 13 Rue Jbel Lakhdhar, Beb Saadoun, Tunis 1029, Tunisia
| | - Riadh Jouini
- Department of Pediatric Surgery "A", Children's Hospital of Tunis, University of Tunis El Manar, 13 Rue Jbel Lakhdhar, Beb Saadoun, Tunis 1029, Tunisia
| |
Collapse
|
|
4
|
Weledji EP, Nana TC. A rare aetiology of small intestinal volvulus in an infant. JOURNAL OF PEDIATRIC SURGERY CASE REPORTS 2017. [DOI: 10.1016/j.epsc.2017.07.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
|
|
5
|
Shabtaie SA, Infante JC, Danton G, Neville HL, Perez EA, Sola JE, Hogan AR. Accessory pancreatic lobe in association with a gastric duplication cyst. J Pediatr Surg 2017; 53:S0022-3468(17)30574-2. [PMID: 28966008 DOI: 10.1016/j.jpedsurg.2017.09.007] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/19/2017] [Revised: 08/25/2017] [Accepted: 09/11/2017] [Indexed: 12/11/2022]
Abstract
Gastric duplication cysts are an extremely rare anomaly with few reported cases in association with accessory pancreatic tissue. Diagnosis can be challenging given a presentation of recurrent pancreatitis and resemblance to pancreatic pseudocysts. We report the case of a 6-year old boy with multiple episodes of pancreatitis who was discovered to have an accessory pancreatic lobe connected to a gastric duplication cyst, successfully treated with surgical excision.
Collapse
Affiliation(s)
- Samuel A Shabtaie
- Division of Pediatric Surgery, DeWitt Daughtry Family Department of Surgery, University of Miami Miller School of Medicine, Miami, FL
| | - Juan C Infante
- Division of Pediatric Radiology, Department of Radiology, University of Miami Miller School of Medicine, Miami, FL
| | - Gary Danton
- Division of Pediatric Radiology, Department of Radiology, University of Miami Miller School of Medicine, Miami, FL
| | - Holly L Neville
- Division of Pediatric Surgery, DeWitt Daughtry Family Department of Surgery, University of Miami Miller School of Medicine, Miami, FL
| | - Eduardo A Perez
- Division of Pediatric Surgery, DeWitt Daughtry Family Department of Surgery, University of Miami Miller School of Medicine, Miami, FL
| | - Juan E Sola
- Division of Pediatric Surgery, DeWitt Daughtry Family Department of Surgery, University of Miami Miller School of Medicine, Miami, FL
| | - Anthony R Hogan
- Division of Pediatric Surgery, DeWitt Daughtry Family Department of Surgery, University of Miami Miller School of Medicine, Miami, FL.
| |
Collapse
|
|
6
|
Khan RA, Wahab S, Ghani I. Neonatal Intestinal Obstruction: When to Suspect Duplication Cyst of Bowel as the Cause. J Neonatal Surg 2016; 5:52. [PMID: 27896160 PMCID: PMC5117275 DOI: 10.21699/jns.v5i4.467] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2016] [Accepted: 09/06/2016] [Indexed: 02/02/2023] Open
Abstract
Background: Duplication cyst is a rare cause of neonatal intestinal obstruction. Their most common location is the small intestine. The clinical presentation is extremely variable depending upon its size, location and type and the age of the patient and are mainly encountered during infancy or early childhood. The diagnosis is very difficult in neonates. This study was undertaken to study their presentation, diagnostic modality of choice and further management in neonatal age group.
Materials and Methods: This was a retrospective study performed at the Department of Paediatric Surgery, J .N Medical College Hospital, AMU Aligarh from July 2008 to June 2014. The data was analyzed with respect to demographic profile of the neonates, their initial clinical presentation, radiological features and subsequent event leading to intervention, operative features and outcome.
Results: There were a total of seven neonates between ages of 3 days and 21 days who were diagnosed as cases of intestinal obstruction due to duplication cyst. The majority of the patients were having ileal duplication cyst (n=4). Ultrasonography played important role in majority of the cases for diagnosis. There was one patient in which the diagnosis was confused with ileal atresia. All the patients underwent excision with restoration of bowel continuity.
Conclusion: The diagnosis of intestinal obstruction in neonate due to duplication cyst is difficult. It has varied presentation and preoperative diagnosis at times may be challenging. Surgery is the mainstay of the treatment.
Collapse
Affiliation(s)
- Rizwan Ahmad Khan
- Department of Pediatric Surgery, J. N. Medical College Hospital, A.M.U. Aligarh
| | - Shagufta Wahab
- Department of Radiodiagnosis, J. N. Medical College Hospital, A.M.U. Aligarh
| | - Imran Ghani
- Department of Pediatric Surgery, J. N. Medical College Hospital, A.M.U. Aligarh
| |
Collapse
|
|
7
|
Patiño Mayer J, Bettolli M. Alimentary tract duplications in newborns and children: diagnostic aspects and the role of laparoscopic treatment. World J Gastroenterol 2014; 20:14263-71. [PMID: 25339813 PMCID: PMC4202355 DOI: 10.3748/wjg.v20.i39.14263] [Citation(s) in RCA: 48] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/29/2013] [Revised: 02/22/2014] [Accepted: 06/14/2014] [Indexed: 02/06/2023] Open
Abstract
Alimentary tract duplications are rare congenital lesions normally diagnosed in newborns and children that can occur anywhere from the mouth to the anus and have a reported incidence of approximately 1 in 4500 life births. Symptoms and clinical presentation vary greatly. The presentation varies according to age and location. The treatment finally is surgical; total resection when possible should be the aim of the intervention. In pediatric surgery minimally invasive surgical procedures became more and more important over the last decades. In consequence the operative procedure on alimentary tract duplications changed in this manner. We review on case reports and clinical reports on minimally invasive surgery in the treatment of alimentary tract duplications, determine the importance of minimally invasive techniques in the treatment of this rare entity and rule out that further studies in the field should be performed.
Collapse
|
|
8
|
Bounaim A, Elkaoui H, Ali AA, Zentar A, Sair K. Duplication tubulaire de l’œsophage chez l’adulte. Presse Med 2011; 40:218-20. [DOI: 10.1016/j.lpm.2010.09.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/26/2010] [Revised: 07/22/2010] [Accepted: 09/09/2010] [Indexed: 12/01/2022] Open
|
|
9
|
Karboubi L, Sadiq N, Kisra M, Kabiri M, Barkat A, Ettaybi F, Bouazzaoui NL. [Oesophageal duplication with neonatal revelation. About 2 cases]. Arch Pediatr 2008; 15:1308-11. [PMID: 18524551 DOI: 10.1016/j.arcped.2008.04.010] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2007] [Revised: 02/25/2008] [Accepted: 04/13/2008] [Indexed: 01/31/2023]
Abstract
UNLABELLED Oesophageal duplication is a rare form of digestive duplication. This congenital malformation can be asymptomatic or manifest itself through respiratory signs due to airway compression. We report 2 cases of oesophageal duplication discovered in the neonatal period. CASE REPORT In both cases, symptoms were dominated by respiratory distress and vomiting. Diagnosis was confirmed by oesophageal contrast X-rays, which revealed a total tubular form in the 1st case and a cystic form in the 2nd case. CONCLUSION Oesophageal duplication is a rare abnormality of benign nature, which can be revealed in neonatal period by a noisy compression picture. Diagnosis of this anomaly should trigger a search for other digestive duplications, as well as associated malformations, in particular vertebral.
Collapse
Affiliation(s)
- L Karboubi
- Centre national de référence en néonatologie et nutrition, et service de pédiatrie, hôpital d'enfants de Rabat, avenue Ibn-Rochd, Souissi, Rabat, Morocco.
| | | | | | | | | | | | | |
Collapse
|
|
10
|
Dias AR, Lopes RI, do Couto RC, Bonafe WW, D'Angelo L, Salvestro ML. Ileal duplication causing recurrent intussusception. JOURNAL OF SURGICAL EDUCATION 2007; 64:51-3. [PMID: 17320807 DOI: 10.1016/j.cursur.2006.09.003] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/31/2006] [Revised: 08/15/2006] [Accepted: 09/20/2006] [Indexed: 05/14/2023]
Abstract
Intestinal duplications are rare congenital lesions that can develop anywhere along the alimentary tract. Symptoms usually appear during the first year of life and are varied. Diagnosis is difficult to achieve, and surgery is required for treatment. Here the case of a 6-month-old male with history of recurrent intussusception is reported. Surgery was indicated, and an ileal duplication was found. Intestinal duplication is discussed based on its epidemiology, clinical presentation, diagnosis, and treatment.
Collapse
Affiliation(s)
- Andre Roncon Dias
- Department of General Surgery, Hospital Universitario, University of Sao Paulo, Sao Paulo, Brazil.
| | | | | | | | | | | |
Collapse
|
|
11
|
Prada Arias M, García Lorenzo F, Montero Sánchez M, Muguerza Vellibre R. Enteric duplication cyst resembling umbilical cord cyst. J Perinatol 2006; 26:368-70. [PMID: 16724077 DOI: 10.1038/sj.jp.7211520] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
We report a case of a neonatal male with a prenatal diagnosis of umbilical cord cyst that was finally diagnosed as an ileal duplication cyst after post-natal surgical exploration of the umbilical mass. To our knowledge, a similar case has never been reported previously. Although this form of presentation of enteric duplication cyst is exceptional, it should be taken into consideration when evaluating suspected umbilical cord cysts.
Collapse
Affiliation(s)
- M Prada Arias
- Service of Pediatric Surgery, University Hospital Xeral-Cíes, Vigo, Spain.
| | | | | | | |
Collapse
|