Title : Laparoscopic resection of cecal duplication cyst in a 28-year-old male
Abstract:
Introduction: Cecal duplication cyst is a congenital anomaly that is rarely observed in adults. It has diverse clinical presentation with different treatment approaches. This article sheds light on a case of cecal duplication cyst in an adult patient where it was laparoscopic surgically resected.
Case Report: This is a case of 28 years old male patient presenting with one week history of right lower quadrant pain with no other associated symptoms. Radiology report mentioned a diagnosis of an epiploic appendagitis or cecal diverticulitis, for which a medical treatment of antibiotics and pain killer was started. 10 days later, a control CT scan of the abdomen and pelvis with IV and PO contrast was done showing increase in the size of the cystic mass with excessive fatty stranding. Since the patient was still in pain and no amelioration based on the clinical and radiological findings, decision was taken to go for diagnostic laparoscopy. The pathology report showed a non-communicating cystic duplication cyst of the cecum.
Discussion: Enteric duplication cyst is rare congenital anomaly. They can be found anywhere in gastrointestinal tract with the small intestine being most commonly involved mainly in its distal part. In our case, the patient was a male aged 28 years, thus considered out of the common age and gender group of this presentation. Presenting feature may differ depending on site, size and morphology of CDC.Duplication cysts may have malignant transformation, and cases of adenocarcinoma from cyst wall have been reported.
Conclusion: Duplication cyst is a rare finding in the pathologies of the gastrointestinal tract, and is even rarer when occurring in adults and affecting the cecum. This is a study showing this unique presentation, which was treated laparoscopically.
