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KMID : 0816120100130010075
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Korean Journal of Pediatric Gastroenterolology and Nutrition
2010 Volume.13 No. 1 p.75 ~ p.80
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A Case of Intestinal Duplication Cyst Identified as Pathological Lead Point in a Child with Recurrent Intussusception
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Lee Kun-Song
Lee Yung-Suk
Park Ji-Yun
Oh Jong-Seok
Seong In-Chang
Han Kang-Min
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Abstract
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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 2.4×2.4 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.
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KEYWORD
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Intestinal duplication cyst, Intussusception, Pathologic lead point, Double wall sign, Y-configuration
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