Enteric duplication cysts in children: varied presentations, varied imaging findings
Abstract Enteric duplication cysts (EDCs) are rare congenital malformations formed during the embryonic development of the digestive tract. They are usually detected prenatally or in the first years of life. The size, location, type, mucosal pattern and presence of complications produce a varied cli...
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doaj-034b4f14569444dda9ae1bd6c13849352020-11-24T21:59:43ZengSpringerOpenInsights into Imaging1869-41012018-10-01961097110610.1007/s13244-018-0660-zEnteric duplication cysts in children: varied presentations, varied imaging findingsCinta Sangüesa Nebot0Roberto Llorens Salvador1Elena Carazo Palacios2Sara Picó Aliaga3Vicente Ibañez Pradas4Radiology Department, Paediatric Imaging Section, Hospital Universitario y Politécnico La FeRadiology Department, Paediatric Imaging Section, Hospital Universitario y Politécnico La FePaediatric Surgery Department, Hospital Universitario y Politécnico La FeRadiology Department, Paediatric Imaging Section, Hospital Universitario y Politécnico La FePaediatric Surgery Department, Hospital Universitario y Politécnico La FeAbstract Enteric duplication cysts (EDCs) are rare congenital malformations formed during the embryonic development of the digestive tract. They are usually detected prenatally or in the first years of life. The size, location, type, mucosal pattern and presence of complications produce a varied clinical presentation and different imaging findings. Ultrasonography (US) is the most used imaging method for diagnosis. Magnetic resonance (MR) and computed tomography (CT) are less frequently used, but can be helpful in cases of difficult surgical approach. Conservative surgery is the treatment of choice. Pathology confirms the intestinal origin of the cyst, showing a layer of smooth muscle in the wall and an epithelial lining inside, resembling some part of the gastrointestinal tract (GT). We review the different forms of presentation of the EDCs, showing both the typical and atypical imaging findings with the different imaging techniques. We correlate the imaging findings with the surgical results and the final pathological features. Teaching Points • EDCs are rare congenital anomalies from the digestive tract with uncertain pathogenesis. • More frequently, diagnosis is antenatal, with most EDCs occurring in the distal ileum. • Ultrasonography is the method of choice for diagnosis of EDCs. • Complicated EDCs can show atypical imaging findings. • Surgery is necessary to avoid complications.http://link.springer.com/article/10.1007/s13244-018-0660-zCystGastrointestinal tractChildrenUltrasoundMagnetic resonance |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Cinta Sangüesa Nebot Roberto Llorens Salvador Elena Carazo Palacios Sara Picó Aliaga Vicente Ibañez Pradas |
spellingShingle |
Cinta Sangüesa Nebot Roberto Llorens Salvador Elena Carazo Palacios Sara Picó Aliaga Vicente Ibañez Pradas Enteric duplication cysts in children: varied presentations, varied imaging findings Insights into Imaging Cyst Gastrointestinal tract Children Ultrasound Magnetic resonance |
author_facet |
Cinta Sangüesa Nebot Roberto Llorens Salvador Elena Carazo Palacios Sara Picó Aliaga Vicente Ibañez Pradas |
author_sort |
Cinta Sangüesa Nebot |
title |
Enteric duplication cysts in children: varied presentations, varied imaging findings |
title_short |
Enteric duplication cysts in children: varied presentations, varied imaging findings |
title_full |
Enteric duplication cysts in children: varied presentations, varied imaging findings |
title_fullStr |
Enteric duplication cysts in children: varied presentations, varied imaging findings |
title_full_unstemmed |
Enteric duplication cysts in children: varied presentations, varied imaging findings |
title_sort |
enteric duplication cysts in children: varied presentations, varied imaging findings |
publisher |
SpringerOpen |
series |
Insights into Imaging |
issn |
1869-4101 |
publishDate |
2018-10-01 |
description |
Abstract Enteric duplication cysts (EDCs) are rare congenital malformations formed during the embryonic development of the digestive tract. They are usually detected prenatally or in the first years of life. The size, location, type, mucosal pattern and presence of complications produce a varied clinical presentation and different imaging findings. Ultrasonography (US) is the most used imaging method for diagnosis. Magnetic resonance (MR) and computed tomography (CT) are less frequently used, but can be helpful in cases of difficult surgical approach. Conservative surgery is the treatment of choice. Pathology confirms the intestinal origin of the cyst, showing a layer of smooth muscle in the wall and an epithelial lining inside, resembling some part of the gastrointestinal tract (GT). We review the different forms of presentation of the EDCs, showing both the typical and atypical imaging findings with the different imaging techniques. We correlate the imaging findings with the surgical results and the final pathological features. Teaching Points • EDCs are rare congenital anomalies from the digestive tract with uncertain pathogenesis. • More frequently, diagnosis is antenatal, with most EDCs occurring in the distal ileum. • Ultrasonography is the method of choice for diagnosis of EDCs. • Complicated EDCs can show atypical imaging findings. • Surgery is necessary to avoid complications. |
topic |
Cyst Gastrointestinal tract Children Ultrasound Magnetic resonance |
url |
http://link.springer.com/article/10.1007/s13244-018-0660-z |
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