Large, septated ileal duplication cyst in a 4-year old, simulating the urinary bladder.
A 4-year-old boy presented with acute abdominal pain and a 1-year history of intermittent umbilical complaints. Ultrasonographic examination demonstrated a large cyst in the lower abdomen divided by a thin membrane. With micturition, impaired bladder function was expected. Initial suprapubic drainage produced 1,000 ml dark-brown liquid. Laparotomy revealed an ileal duplication cyst. Preoperative computed tomography and laparoscopy with the cyst drained did not further clarify the diagnosis.
Loff
S
S
Department of Pediatric Surgery, Klinikum Mannheim, University of Heidelberg, D-68135 Mannheim, Germany.
Jaeger
T M
TM
Lorenz
C
C
Waag
K L
KL
D002675:Child, Preschool; D003560:Cysts / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D003937:Diagnosis, Differential; D004322:Drainage; D005500:Follow-Up Studies; D006801:Humans; D007077:Ileal Diseases / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D010535:Laparoscopy; D008297:Male; D014057:Tomography, X-Ray Computed; D001749:Urinary Bladder Neoplasms / Q000150:complications / Q000175:diagnosis*