Vanishing enteric duplication cyst presenting with melaena

A toddler presented with melaena on a background of a possible enteric duplication cyst, diagnosed in the neonatal period which 'vanished'. What was later confirmed to be a small bowel duplication cyst was not seen on follow-up ultrasounds and thus the patient was managed expectantly until...

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Published inBMJ case reports Vol. 15; no. 8; p. e250012
Main Authors Cave, Joshua J, Chaudhary, Ahsan, Tsigka, Alexia, Tan, Yew-Wei
Format Journal Article
LanguageEnglish
Published England BMJ Publishing Group LTD 26.08.2022
BMJ Publishing Group
Subjects
Abdomen
Asymptomatic
Case reports
Case Reports: Learning from unexpected outcome (positive or negative)
Communication
Cysts
Digestive System Abnormalities
Humans
Infant, Newborn
Laparoscopy
Melena
Ovaries
Pediatrics
Smooth muscle
Surgery
Ultrasonic imaging
Ultrasonography
Paediatric Surgery
Congenital disorders
Gastrointestinal surgery
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Summary:A toddler presented with melaena on a background of a possible enteric duplication cyst, diagnosed in the neonatal period which 'vanished'. What was later confirmed to be a small bowel duplication cyst was not seen on follow-up ultrasounds and thus the patient was managed expectantly until presentation as an emergency. Our case highlights the challenges faced in managing cystic abdominal structures in infancy and the potential consequences of expectant management. We discuss whether cross-sectional imaging or diagnostic laparoscopy should be advocated when duplications cysts are considered amongst the differentials of a lesion on ultrasound.
Bibliography:ObjectType-Case Study-2
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JJC and AC are joint first authors.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2022-250012