Cecocolic Intussusception in an Infant with Cecal Duplication Cyst: Case Report with Review of Literature

De Biagi L, Ratta A and Federici S

Department of Pediatric Surgery, Infermi Hospital Rimini, Italy

^*Correspondance to: De Biagi L 

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Abstract:

Background: Intussusception is a quite common gastrointestinal emergency in children. In nearly 2% to 12% of patients, a lead point can be Meckel diverticulum, mesenteric lymph nodes, intestinal tumors (NHL), polyps, ganglioneuroma, hamartomas or mesenteric or duplication cysts. The latter are rare congenital malformations of the gastrointestinal tract. These cysts are commonly found in the ileum. Colonic duplications occur in 3% to 20% of cases, whereas cecal duplications are extremely rare with a reported incidence of 0.4% of all alimentary tract duplications.
Methods: We report the case of a 2-month-old female who was referred to our hospital with abdominal pain and rectal bleeding. Diagnostic imaging included Ultrasonography, plain abdominal radiography and contrast enema. The indication to surgery was a suspected intussusception whose lead point was a duplication of the cecum. The correct diagnosis was established only with surgical assessment. Enucleation of the cyst was not possible due to its anatomical localization and a common muscular wall with cecum. Hence a complete mucosectomy of the cyst was performed.
Results: The post-operative period was uneventful and the infant was discharged on the 4th p.o day. Follow up after 6 month was regular.
Conclusion: Cecal duplication is a really rare congenital condition. About 80% of these cases are detected in the first 2 years of life as a result of an acute intestinal obstruction. The correct diagnosis is generally subsequent surgical exploration. Mucosectomy is a surgical choice which allows preserving the ileo-cecal valve without resecting the cecum.

Keywords:

Duplication cyst; Cecum; Intussusception; Mucosectomy

Cite the Article:

De Biagi L, Ratta A, Federici S. Cecocolic Intussusception in an Infant with Cecal Duplication Cyst: Case Report with Review of Literature. World J Surg Surgical Res. 2018; 1: 1081.