Colorectal Duplication Cyst, Presenting with Recurrent Acute Intestinal Obstruction

A Kumar, A Behari, A Singh, VK Kapoor, K Narendera
2016 Journal of Case Reports  
Enteric duplication is a rare congenital anomaly which is commonly encountered in pediatric age group, and is rarely seen in adult patients. Ileum is the most common site of involvement (60%) followed by duodenum, stomach, jejunum, colon and rectum. Here we report a case of a 20-year old female presenting with acute intestinal obstruction, in which an initial diagnosis of Hirschsprung's disease (HD) was considered and laparotomy, multiple colonic biopsies, appendectomy with loop ileostomy was
more » ... oop ileostomy was done. The diagnosis of HD was disproved by presence of ganglionic cells in the colonic wall. Diagnosis of a long duplication, along the entire length of colon, was made when a CECT was done with instillation of contrast through the distal limb of ileostomy. A subtotal colectomy with division of septum between the residual cyst and rectum with colorectal anastomosis was done after a month and closure of ileostomy after another 3 months. The patient recovered well and is asymptomatic in follow-up.
doi:10.17659/01.2016.0016 fatcat:fp5po3rkgveapeuyu7asbd3xi4