TITLE:
A Complicated Ileal Duplication Cyst in a Young Adult: The Value of the “Gut Signature”
AUTHORS:
Marco Di Serafino, Rosa Severino, Carmela Mercogliano, Francesco Lisanti, Ciro De Martino, Rosario Rocca, Rosaria Abate, Michele Salata, Gianfranco Vallone, Domenico Maroscia
KEYWORDS:
Intestinal Duplication, Gut Signature, Right Iliac Fossa, Abdominal Pain, Complicated Cyst
JOURNAL NAME:
Open Journal of Radiology,
Vol.6 No.2,
June
6,
2016
ABSTRACT: Intestinal duplication is an uncommon congenital abnormality, with
potential life-threatening complications, usually manifesting in childhood. Due
to its non-specific clinical presentation as well as its resemblance to other
abdominal processes at imaging, the differential diagnosis may be very
difficult. This case report describes a young female adult accessed twice to
our Emergency Department with recurrent pain in the right iliac fossa and a
clinical picture of abdominal pain and bowel obstruction, who was finally
diagnosed with complicated duplication cyst, then resected. The diagnostic
tools performed show the simple duplication cyst at the beginning, in the ileocecal
region, with the characteristic “gut signature” at Ultrasound and its
subsequent inflammatory changing at Computed Tomography, which led to the right
diagnostic hypothesis, confirmed by histopathology. An early diagnosis of this
condition is needed to undertake the correct surgical approach.