Incidental finding of jejunal duplication cyst during laparotomy: A case report. (July 2022)

• Record Type: Journal Article
• Authors: El Berni, Yassine; Moufakkir, Aziz; Bouali, Mounir; El Bakouri, Abdelilah; El Hattabi, Khalid; Bensardi, Fatimazahra; Fadil, Abdelaziz
• Is Part Of: Annals of medicine and surgery. Volume 79(2022)
• Publication Date: 2022-07
• Subjects: Jejunal duplication cyst -- Congenital anomalies -- Abdominal cystic mass -- Case report; Surgery -- Periodicals; Medicine -- Periodicals; General Surgery -- Periodicals; Education, Medical -- Periodicals; Periodicals; 617
• DOI: 10.1016/j.amsu.2022.103971
• Languages: English
• ISSNs: 2049-0801

Abstract

Abstract: Introduction: and importance: Duplications, which rare anomalies of the gastroin-testinal tract, may be located in any part of the gastro-intestinal system from the oral cavity to the anus. The aim of this paper is to present and discuss a case of an asymptomatic jejunal duplication cyst associated with adhesive small bowel obstruction in an elderly lady. Case presentation: A 70-year-old female, presented to the emergency room with a history of recurrent abdominal, non-bilious vomiting, and abdominal distension for 5 days with no passage of stool and flatus for 3 days. Abdominal Computed tomography scan showed dilated fluid-filled small bowel loops with abrupt transition to collapsed small bowel associated with a focal kink and narrowing of the lumen. The patient was rushed for emergency laparotomy for diagnosis of adhesive small bowel obstruction. To our surprise, jejunal duplication cysts were found. Clinical discussion: the intestinal duplication cysts are rare congenital anomalies. The clinical presentation is variable and depends on the site and the related complications. Surgical resection is deemed appropriate management due to known complications like obstruction, hemorrhage, perforation, and malignant degeneration. Conclusion: It's important to include intestinal duplication in the differential diagnosis of acute abdomen. Highlights: Duplications of the gastrointestinal tract are rare congenital anomalies. Duplications are located on the mesenteric border of the associated native bowel. The resection of the involved bowel is the treatment associated with the best long-term outcomes.