Huge cystic duplication of the ascending colon in adult.
Duplications of alimentary tract are uncommon congenital anomalies that are usually identified during the pediatric age. However, a minority of cases remain unsuspected until adulthood. They may be cystic or tubular in appearance and characteristically arise from the mesenteric border of the intestine. This paper reports a 37-year-old male with a huge cystic duplication of the ascending colon. In facing such a huge abdominal cystic tumor, differential diagnoses including duplication cyst, mesenteric cyst, choledochal cyst, giant diverticulum, and cystic tumor of the pancreas should be considered. Computerized tomography is a good tool for delineating the relationship between the tumor and peripheral structures. Surgery not only provides treatment but also final pathological diagnosis. Complete resection of a colonic duplication is necessary because of potential malignant change of the lesion.
Chen
C C
CC
Department of Surgery, Taichung Veterans General Hospital, 160, Sec. 3, Taichung-Kang Road, Taichung, Taiwan. chen8369@vghtc.vghtc.gov.tw
Yeh
D C
DC
Wu
C C
CC
Li
M C
MC
Kwan
P C
PC
D000328:Adult; D003106:Colon / Q000002:abnormalities* / Q000601:surgery; D003108:Colonic Diseases / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D003560:Cysts / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male