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Ileal duplication cyst with giant polypoidal gastric heterotropia:
  1. Amrin Israrahmed1,
  2. Vikrant Verma2,
  3. Sarfraz Ahmad1 and
  4. Rajanikant R Yadav1
  1. 1Radiodiagnosis, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India
  2. 2Pathology, Sanjay Gandhi Post Graduate Institute Of Medical Sciences, Lucknow, Uttar Pradesh, India
  1. Correspondence to Dr Rajanikant R Yadav; rajani24478{at}gmail.com

Abstract

Enteric duplication cysts (EDCs) are congenital malformations of the gastrointestinal tract. EDCs can present as tubular or spherical cystic lesions of the abdomen. The tubular variant of EDC arises as an outpouching from the bowel wall, whereas the spherical variant rarely shows bowel communication. EDCs are known to harbour heterotopic pancreatic parenchyma or gastric mucosa. We present a case of EDC of the ileum (tubular type) with heterotopic gastric mucosa in a 7-year-old child who came with malena and abdominal discomfort. CT revealed focal abnormal dilatation of the ileal loop with polypoidal mucosal thickening. Differential diagnosis of lymphoma, bowel polyps and Meckel’s diverticula with gastric heterotopia (GH) were considered. Subsequent surgery followed by histopathology revealed it to be EDC with GH. We discuss this case to familiarise radiologists with the atypical imaging features of EDC, to prevent misdiagnosis and initiate prompt treatment in appropriate clinical settings.

  • radiology
  • paediatric surgery
  • congenital disorders

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Footnotes

  • Contributors AI has drafted the manuscript. SA compiled the figures and drafted the figure legends. VV helped in establishing the histopathological diagnosis of this case and has added his expert comments to the manuscript. RRY has added valuable inputs to the final version of the manuscript and has approved it for submission.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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