Recurrent Abdomen Pain and Vomiting in a Child: A Congenital Condition Rarely Reported - Ileal Duplication Cyst

Abstract

Gastrointestinal duplications are rare but interesting clinical entities. The presentation depends on their anatomical location, size and other characteristics. The most common variety is the small bowel cystic duplication. We report a case of a 13 year old male who presented with recurrent abdominal pain and vomiting. USG abdomen suggested a possibility of Meckel’s diverticulum. Laparotomy revealed a duplicated segment of ileum of about 10cm. Duplicated segment was resected and end to end anastomosis was done. This report highlights ileal duplication though rare, but a possible cause of recurrent abdomen pain in children. The key in the management of a case of Alimentary duplication cyst is the preoperative suspicion and intraoperative examination of the entire bowel.