Enteric duplication cyst

Enteric duplication cysts, sometimes simply called duplication cysts, are rare congenital malformations of the gastrointestinal tract.^[1] They most frequently occur in the small intestine, particularly the ileum, but can occur anywhere along the gastrointestinal tract.^[1] They may be cystic or tubular in conformation.^[2]

The condition of having duplication cysts has been called intestinal duplication.^[3]

Symptoms

Symptoms depend on the location of the duplication. Duplications occurring high in the gastrointestinal tract (e.g. esophageal) may cause difficulty breathing due to compression of the airway. Lower gastrointestinal duplications (e.g. duodenum, colon) can be associated with abdominal pain, gastrointestinal bleeding, a palpable mass, vomiting, or may cause bowel obstruction. Smaller lesions can act as a so-called "lead point" for intussusception.^[4]

Treatment

Duplications are usually removed surgically, even if they are found incidentally (i.e. not causing symptoms or encountered on routine studies for other reasons), as there is a high incidence of complications resulting from untreated cases.^[4] Cysts are often technically easier to remove than tubular malformations since tubular structures usually share a blood supply with the associated gut.^[2]

References

1 2 Tong SC, Pitman M, Anupindi SA (2002). "Best cases from the AFIP. Ileocecal enteric duplication cyst: radiologic-pathologic correlation". Radiographics 22 (5): 1217–22. doi:10.1148/radiographics.22.5.g02se221217. PMID 12235349.
1 2 Muratore, Christopher; Tracy, Thomas, Jr. (2008). "Neonatal Bowel Obstruction". In Bland, Kirby; et al. General Surgery: Principles and International Practice, Vol 1. Springer. p. 1428. ISBN 1848001398. Retrieved 16 April 2013.
↑ Fitz, Reginald H. (1884). "Persistent omphalomesenteric remains: their importance in the causation of intestinal duplication, cyst formation and obstruction". The American Journal of the Medical Sciences 88: 30–57.
1 2 Zahir, Israr; et al. (2010). "Duplication Cyst in a New Born" (PDF). International Journal of Pathology 8 (2): 84–86. Retrieved 16 April 2013.

External links

Gastrointestinal duplications at Medscape

Congenital malformations and deformations of digestive system (Q35–Q45, 749–751)

Upper GI tract

Tongue, mouth and pharynx	Cleft lip and palate Van der Woude syndrome tongue Ankyloglossia Macroglossia Hypoglossia

Esophagus	EA/TEF Esophageal atresia: types A, B, C, and D Tracheoesophageal fistula: types B, C, D and E esophageal rings Esophageal web (upper) Schatzki ring (lower)

Stomach	Pyloric stenosis Hiatus hernia

Lower GI tract

Intestines	Intestinal atresia Duodenal atresia Meckel's diverticulum Hirschsprung's disease Intestinal malrotation Dolichocolon Enteric duplication cyst

Rectum/anal canal	Imperforate anus Rectovestibular fistula Persistent cloaca Rectal atresia

Accessory

Pancreas	Annular pancreas Accessory pancreas Johanson–Blizzard syndrome Pancreas divisum

Bile duct	Choledochal cysts Caroli disease Biliary atresia

Liver	Alagille syndrome Polycystic liver disease

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