Cecal duplication cyst in an infant presenting as shock: A case report

Figure 1  Plain abdominal radiograph demonstrating numerous loops of dilated bowel.

Figure 2 Macroscopic examination of the duplication cyst. A: Preoperative photograph of cecal duplication cyst with dilated terminal ileum; B: The cystic mass attached to the ileocecal area, cecum, appendix, and contiguous portion of terminal ileum removed.

Figure 3 Photomicrograph showing histopathology of duplication cysts revealing the lining of intestinal mucosa. A: Cut section of the specimen showing cystic mass within the intestinal wall; B: On low magnification, two distinct muscle layers (arrows) are visible, the outer layer in continuation with the intestine (HE, ×10). C: Immunohistochemical staining for desmin highlights two separated muscle layers (Desmin, ×100), D: The cyst-lining epithelium consists of low columnar epithelial cells (D-I, arrows) or flattened cuboidal cells (D-II, arrows) (HE, ×200).