Year 2024 / Volume 116 / Number 9
Letter
Colonic duplication cyst, a diagnosis to consider in young patients with abdominal pain

508-509

DOI: 10.17235/reed.2023.10017/2023

Lidia Campos Gonzaga, Juan Antonio Hernani Álvarez, Ana Cepeda Vázquez, Gloria León Sanjuan,

Abstract
We present the case of a 22-year-old woman with cesarean section 11 days before with abdominal pain in the left flank of one week of evolution associated with self-limited liquid stools. In the analytical control, leukocytes at the expense of neutrophils, as well as CRP 147 gr/L were highlighted. An abdominal CT scan was requested without contrast iv, which showed inflammatory changes in the pericolonic fat adjacent to the descending colon associated with concentric mural thickening with oval lesion. Due to the characteristics of the patient continuing with abdominal pain and the CT findings, abdominal MRI was requested in which concentric mural thickening of a segment of descending colon with longitudinal diameter of approximately 6 cm, associated with infiltration-rarefaction of the pericolonic fat, and cystic image that protrudes on the left lateral wall of the colon of approximately 3.7x5 cm was observed.
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References
1. Ricciardolo AA, Iaquinta T, Tarantini A, Sforza N, Mosca D, Serra F, Cabry F, Gelmini R. A rare case of acute abdomen in the adult: The intestinal duplication cyst. case report and review of the literature. Ann Med Surg (Lond). 2019 Mar 12;40:18-21. doi: 10.1016/j.amsu.2019.03.002. PMID: 30962926; PMCID: PMC6426707.
2. Rodriguez Garcia P, Sanchez Perez A, Romera Barba E, Calero Garcia P, Gonzalez-Costea MR. Colonic duplication cyst in adult. Gastroenterol Hepatol 2020; 43: 360-1.
3. Hsu H, Gueng MK, Tseng YH, Wu CC, Liu PH, Chen CC. Adenocarcinoma arising from colonic duplication cyst with metastasis to omentum: A case report. J Clin Ultrasound. 2011 Jan;39(1):41-3. doi: 10.1002/jcu.20739. Epub 2010 Sep 1. PMID: 20812340.
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Campos Gonzaga L, Hernani Álvarez J, Cepeda Vázquez A, León Sanjuan G. Colonic duplication cyst, a diagnosis to consider in young patients with abdominal pain. 10017/2023


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Publication history

Received: 11/10/2023

Accepted: 17/10/2023

Online First: 06/11/2023

Published: 09/09/2024

Article Online First time: 26 days

Article editing time: 334 days


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