A Case of Intestinal Duplication Cyst Identified as Pathological Lead Point in a Child with Recurrent Intussusception.
10.5223/kjpgn.2010.13.1.75
- Author:
Kun Song LEE
1
;
Ji Yun PARK
;
Jong Seok OH
;
In Chang SEONG
;
Kang Min HAN
;
Young Seok LEE
Author Information
1. Department of Pediatrics, College of Medicine, Dankook University, Cheonan, Korea. pdlks@hanmail.net
- Publication Type:Case Report
- Keywords:
Intestinal duplication cyst;
Intussusception;
Pathologic lead point;
Double wall sign;
Y-configuration
- MeSH:
Child;
Female;
Gastric Mucosa;
Gastrointestinal Tract;
Humans;
Ileum;
Infant;
Intussusception;
Muscles;
Vomiting
- From:Korean Journal of Pediatric Gastroenterology and Nutrition
2010;13(1):75-80
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Intestinal duplication cysts are characterized by the attachment to some part of the gastrointestinal tract with which a blood supply is shared, and have an epithelial lining resembling some part of the alimentary tract. A 15-month-old female was admitted to our hospital with cyclic irritability, vomiting, and blood-tinged stool. The results of an ultrasound showed an ileocolic intussusception and a 1.3 cm cystic mass had double-wall sign and a Y-configuration with an adjacent ileal loop. She had a past history of two ileocolic intussusceptions. The cystic mass was considered to be a pathologic lead point, so resection and end-to-end anastomosis was performed. The gross and histologic evaluation of the specimen demonstrated a 2.4x2.4 cm cystic mass containing yellow mucoid fluid and the cyst wall was lined with intestinal and gastric mucosa and enclosed by a layer of muscle, which was shared with the adjacent ileum.
