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Case Reports: Learning from unexpected outcome (positive or negative)
Vanishing enteric duplication cyst presenting with melaena
  1. Joshua J Cave1,
  2. Ahsan Chaudhary2,
  3. Alexia Tsigka1 and
  4. Yew-Wei Tan1
  1. 1Department of Paediatric Surgery, Norfolk and Norwich University Hospital, Norwich, UK
  2. 2Norwich Medical School, University of East Anglia, Norwich, UK
  1. Correspondence to Ahsan Chaudhary; Ahsan.Chaudhary{at}uea.ac.uk

Abstract

A toddler presented with melaena on a background of a possible enteric duplication cyst, diagnosed in the neonatal period which ‘vanished’. What was later confirmed to be a small bowel duplication cyst was not seen on follow-up ultrasounds and thus the patient was managed expectantly until presentation as an emergency. Our case highlights the challenges faced in managing cystic abdominal structures in infancy and the potential consequences of expectant management. We discuss whether cross-sectional imaging or diagnostic laparoscopy should be advocated when duplications cysts are considered amongst the differentials of a lesion on ultrasound.

  • Congenital disorders
  • Paediatric Surgery
  • Gastrointestinal surgery

https://doi.org/10.1136/bcr-2022-250012

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    Footnotes

    • JJC and AC are joint first authors.

    • JJC and AC contributed equally.

    • Contributors JJC and AC contributed equally to this paper and should be considered joint first authors. Both JJC and AC were responsible for the conception, drafting and revision of the paper. AT was responsible for the conception, provision of images and revision of paper. Y-WT was responsible for the conception, drafting and overall supervision of the paper.

    • 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.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

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