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Case Reports in Pediatrics
Volume 2016, Article ID 4717403, 4 pages
http://dx.doi.org/10.1155/2016/4717403
Case Report

Intraluminal Meckel’s Duplication Cyst Causing Bowel Obstruction in an Infant: A Role for Laparotomy

1Division of Pediatric Surgery, Department of General Surgery, Johns Hopkins Hospital, Baltimore, MD, USA
2Department of Pathology, Johns Hopkins Hospital, Baltimore, MD, USA

Received 27 July 2016; Accepted 21 September 2016

Academic Editor: Sathyaprasad Borjonrappa

Copyright © 2016 Mitchell R. Ladd et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

This report describes a two-month-old girl who presented with signs and symptoms of a distal small bowel obstruction. She underwent an abdominal ultrasound that revealed a right lower quadrant cystic mass. A Technetium-99 scan revealed increased activity in the right lower quadrant consistent with a Meckel’s diverticulum. Following a nondiagnostic laparoscopic evaluation, a laparotomy was performed to allow direct palpation of the small bowel and colon. Direct palpation of the ileum revealed a soft intraluminal mass at the ileocecal valve. The child underwent an ileocecectomy and anastomosis incorporating the intraluminal mass. Pathologic analysis revealed an intraluminal enteric duplication cyst containing ectopic gastric mucosa. This case represents the first report of such an entity in an infant. A discussion of the diagnostic and therapeutic aspects of the case and enteric duplication cysts is provided.