[Intestinal duplication cyst in children: laparoscopically assisted resection is preferred].
A 5-year-old boy was seen for a second opinion as he had episodes of severe abdominal pain and a variably distended abdomen. Ultrasonography showed a suspected duplication cyst of the terminal ileum. A laparoscopically assisted resection was performed. Histology confirmed the diagnosis of a duplication cyst. A few months later a 10-year-old boy presented with a history of abdominal pain, diarrhoea and vomiting. Abdominal ultrasonography showed an intussusception halfway up the transverse colon where a cyst was seen with a fluid level. The intussusception was reduced during laparoscopy and resection of the duplication cyst of the ileum was performed. Although intestinal duplication cysts are rare (prevalence 1:4500), it is important to know they exist. Laparoscopically assisted resection is an elegant way of treating duplication cysts in children.
HagaZiekenhuis, locatie Juliana Kinderziekenhuis, afd. Kinderchirurgie, Den Haag, the Netherlands.
E J T Joanne
EJ
Verweij
Jan Hein
JH
Allema
Gerda W
GW
Zijp
D002648:Child; D002675:Child, Preschool; D003560:Cysts / Q000175:diagnosis* / Q000601:surgery; D004378:Duodenal Diseases / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D007077:Ileal Diseases / Q000175:diagnosis* / Q000601:surgery; D007443:Intussusception / Q000175:diagnosis* / Q000601:surgery; D010535:Laparoscopy; D008297:Male; D016896:Treatment Outcome