Kim SM, Lee SH, Park GY, Kim SS, Lee CG, Jin SJ. Cecal duplication cyst in an infant presenting as shock: A case report. World J Clin Cases 2023; 11(28): 6931-6937 [PMID: 37901014 DOI: 10.12998/wjcc.v11.i28.6931]
Corresponding Author of This Article
Sun Hyang Lee, MD, Doctor, Department of Pediatrics, Soonchunhyang University Bucheon Hospital, 170, Jomaru-ro, Bucheon 14584, Gyeonggi-do, South Korea. hdsunhyang80@hanmail.net
Research Domain of This Article
Pediatrics
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Oct 6, 2023; 11(28): 6931-6937 Published online Oct 6, 2023. doi: 10.12998/wjcc.v11.i28.6931
Cecal duplication cyst in an infant presenting as shock: A case report
Seung Mo Kim, Sun Hyang Lee, Ga Young Park, Sung Shin Kim, Cheol Gu Lee, Soo Ji Jin
Seung Mo Kim, Sun Hyang Lee, Ga Young Park, Sung Shin Kim, Department of Pediatrics, Soonchunhyang University Bucheon Hospital, Soochunhyang University College of Medicine, Bucheon 14584, Gyeonggi-do, South Korea
Cheol Gu Lee, Department of General Surgery, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon 14584, GyeongGi-Do, South Korea
Soo Ji Jin, Department of Pathology, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon 14584, GyeongGi-Do, South Korea
Author contributions: Kim SM, Park GY, Kim SS, Lee CG, Jin SJ and Lee SH contributed to manuscript writing and editing, and data collection; Kim SM and Lee SH contributed to data analysis; Lee SH contributed to conceptualization and supervision; all authors have read and approved the final manuscript.
Supported bythe Soonchunhyang University Research Fund.
Informed consent statement: Informed written consent was obtained from the patient’s parents for the publication of this report and any accompanying images.
Conflict-of-interest statement: All the authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Sun Hyang Lee, MD, Doctor, Department of Pediatrics, Soonchunhyang University Bucheon Hospital, 170, Jomaru-ro, Bucheon 14584, Gyeonggi-do, South Korea. hdsunhyang80@hanmail.net
Received: July 14, 2023 Peer-review started: July 14, 2023 First decision: August 24, 2023 Revised: September 4, 2023 Accepted: September 14, 2023 Article in press: September 14, 2023 Published online: October 6, 2023 Processing time: 73 Days and 8 Hours
Abstract
BACKGROUND
Although intestinal obstruction is one of the most common surgical emergencies in an infant, it is difficult to diagnose neonatal enteric duplication cysts (EDC) preoperatively owing to their rarity as a cause of intestinal obstruction. We describe a case report of a neonatal EDC presenting intestinal obstruction and shock.
CASE SUMMARY
A 32-d-old male infant with a prenatal sonographic finding of bladder distension was admitted to our hospital for a severely distended abdomen, fever, and oliguria. The first diagnostic hypothesis was septic shock and intestinal obstruction. The patient’s symptoms worsened; following an emergency surgical exploratory laparotomy and histopathological findings, the final diagnosis of cecal duplication cyst was confirmed. The patient’s postoperative course was uneventful, and on the fifth postoperative day, oral feeding restarted. Twenty days later, the patient was discharged from the hospital.
CONCLUSION
Although EDC located in the cecum is exceptional, it should be considered when evaluating suspected intestinal obstruction and shock.
Core Tip: Duplication cysts can present at any age with non-specific symptoms. An early diagnosis can help alleviate the symptoms with proper management, else these symptoms may progress to serious complications. This study presents a 32-d-old male child who presented with a severely distended abdomen with concomitant fever and oliguria. The provisional diagnosis was of septic shock which was later confirmed as a final diagnosis of cecal duplication cyst upon an emergency surgical laparotomy and histopathological findings of the excised mass. Although enteric duplication cyst located in the cecum is exceptional, it should be considered when evaluating suspected intestinal obstruction and shock.
