Duplication cyst of ascending colon presenting as an ileal volvulus in a child: A case report and review of literature

Abstract

Alimentary tract duplications are uncommon congenital anomalies that  may be found anywhere along the gastrointestinal tract. They have a  diverse presentation and often times present with complications of  intestinal obstruction and/or lower gastrointestinal haemorrhage. We report a very rare fi nding of a colonic duplication cyst which presented as an ileal  volvulus in a young girl. While available investigations were non-specifi c, the child survived on account of an early decision to operate. She had  resection of the duplication cyst and ileo-colic anastomosis. She made  good recovery postoperatively. A high index of suspicion is necessary on the part of clinicians to recognise this condition. Early operative  intervention is necessary in the developing world setting where state of the  art investigations are not available for accurate pre-operative  diagnosis.

Key words: Congenital anomalies, colonic duplication cysts, complications, ileo-colic anastomosis, volvulus