title: Sudden unexpected death associated with ileocecal duplication cyst and clinical review.
abstract: Duplications of the alimentary tract are very rare. A one-month-old female presented with symptoms of anorexia, vomiting and continuous watery diarrhea. The plain abdominal radiograph showed thickened intestinal wall and signs of small bowel obstruction. The fevers, vomiting, and continuous wartery diarrhea persisted despite antibiotics, and worsened. The patient failed to respond to medical managements, 27 hours after admission, the patient died due to multiple organ failures. The autopsy was performed, small bowel obstruction due to an ileocecal duplication cyst (3 × 3 cm) was recognized. The ileocecal duplication cyst was attached to the ileum which was changed edematous and necrotic. This potential diagnosis should be borne in mind for a patient who complains of abdominal symptoms with an unknown cause, and duplication cyst should be recognized as a fatal cause in infant.
authors.affiliation: Department of Pediatrics, Tokyo Medical University, Tokyo, Japan.
authors.forename: Y
authors.initials: Y
authors.lastname: Kashiwagi
authors.forename: S
authors.initials: S
authors.lastname: Suzuki
authors.forename: K
authors.initials: K
authors.lastname: Watanabe
authors.forename: S
authors.initials: S
authors.lastname: Nishimata
authors.forename: H
authors.initials: H
authors.lastname: Kawashima
authors.forename: K
authors.initials: K
authors.lastname: Takekuma
authors.forename: A
authors.initials: A
authors.lastname: Hoshika
keywords: ileocecal duplication cyst; small bowel obstruction; sudden unexpected death