Enteric Duplication Cyst Presenting as Volvulus: Two Case Reports

Enteric duplication cysts are congenital malformations of the gastrointestinal tract. As the name duplication cyst suggests, which mimics the native gastrointestinal tract, having all the three layers of the gastrointestinal tract. Enteric duplication cyst most frequently occurs in the small bowel, particularly the ileum, but can occur anywhere along the gastrointestinal tract from tongue to rectum. An incidence of 1 in 4500 births, with a slight male preponderance. 80 % of the duplication cysts are symptomatic within first 2 years of life. Due to the varied clinics presentation, radiological evaluation is required for the diagnosis.

Herein, we are reporting two cases of enteric duplication cyst. The first case of 25 years old male patient presented to our center, with the features of acute intestinal obstruction due to volvulus. He was having a duplication cyst at the terminal ileum, causing volvulus. Treated by explorative laparotomy and second case of a 7 years old boy, diagnosed on CT scan, as an enteric duplication cyst, was treated by laparoscopic surgery.