Intestinal duplication revealed by posterior reversible encephalopathy syndrome.
10.3345/kjp.2018.61.4.132
- Author:
Yosra KERKENI
1
;
Hela LOUATI
;
Mourad HAMZAOUI
Author Information
1. Department of Pediatric Surgery "A", Children Hospital "Bechir Hamza" of Tunis, Tunisia Université de Tunis El Manar, Faculté de Médecine de Tunis, Tunis, Tunisia. yosrakerkeni@yahoo.fr
- Publication Type:Case Report
- Keywords:
Posterior Reversible Encephalopathy Syndrome;
Cyst;
Ileum;
Metoclopramide;
Hypertension
- MeSH:
Abdomen;
Adolescent;
Brain;
Diagnosis;
Emergency Service, Hospital;
Female;
Follow-Up Studies;
Humans;
Hypertension;
Ileum;
Logic;
Magnetic Resonance Imaging;
Metoclopramide;
Posterior Leukoencephalopathy Syndrome*;
Seizures
- From:Korean Journal of Pediatrics
2018;61(4):132-134
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report a unique case of intestinal duplication detected on posterior reversible encephalopathy syndrome (PRES) in a 13-year-old girl. She was admitted to the pediatric Emergency Department because of generalized seizures. Radiological assessment revealed a large, well-defined, thick-walled cystic lesion in the mid abdomen, suggestive of duplication cyst associated to a PRES. Exploration confirmed the diagnosis of ileal duplication cyst, and the mass was resected. The postoperative course was uneventful. Both hypertension and neurological dysfunction resolved after the mass resection. A followup brain magnetic resonance imaging was performed 9 months later and showed complete resolution of the cerebellar changes. Although extrinsic compression of the retroperitoneal structures has not been reported in the literature as a complication of duplication cyst, we strongly believe that this is the most logical and plausible hypothesis that would explain the pathogenesis of PRES in our patient.
