Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2009:2009:918401.
doi: 10.1155/2009/918401. Epub 2010 Feb 9.

Duplication cyst of the sigmoid colon

Bastian Domajnko  1 , Rabih M Salloum
Affiliations
Case Reports

Duplication cyst of the sigmoid colon

Bastian Domajnko et al. Gastroenterol Res Pract. 2009.

Abstract

A 21-year-old male with developmental delay presented with abdominal pain of two days' duration. He was afebrile and his abdomen was soft with mild diffuse tenderness. There were no peritoneal signs. Plain x-ray demonstrated a large air-filled structure in the right upper quadrant. Computed tomography of the abdomen revealed a 9 x 8 cm structure adjacent to the hepatic flexure containing an air-fluid level. It did not contain oral contrast and had no apparent communication with the colon. At operation, the cystic lesion was identified as a duplication cyst of the sigmoid colon that was adherent to the right upper quadrant. The cyst was excised with a segment of the sigmoid colon and a stapled colo-colostomy was performed. Recovery was uneventful. Final pathology was consistent with a duplication cyst of the sigmoid colon. The cyst was attached to the colon but did not communicate with the lumen.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Abdominal X-ray demonstrating a cystic air-filled structure in the right upper quadrant.
Figure 2
Figure 2
Computed tomography of the abdomen demonstrating the cyst containing an air-fluid level.
Figure 3
Figure 3
The duplication cyst opened, containing a small amount of blood clots.
Figure 4
Figure 4
The lumen of the sigmoid colon sharing a common wall with the duplication cyst but without direct communication.
See this image and copyright information in PMC

References

    1. Puligandla PS, Nguyen LT, St-Vil D, et al. Gastrointestinal duplications. Journal of Pediatric Surgery. 2003;38(5):740–744. - PubMed
    1. Fotiadis C, Genetzakis M, Papandreou I, Misiakos EP, Agapitos E, Zografos GC. Colonic duplication in adults: report of two cases presenting with rectal bleeding. World Journal of Gastroenterology. 2005;11(32):5072–5074. - PMC - PubMed
    1. Sarpel U, Le MN, Morotti RA, Dolgin SE. Complete colorectal duplication. Journal of the American College of Surgeons. 2005;200(2):304–305. - PubMed
    1. Choong CK, Frizelle FA. Giant colonic diverticulum: report of four cases and review of the literature. Diseases of the Colon and Rectum. 1998;41(9):1178–1185. - PubMed
    1. Horie H, Iwasaki I, Takahashi H. Carcinoid in a gastrointestinal duplication. Journal of Pediatric Surgery. 1986;21(10):902–904. - PubMed

Publication types

LinkOut - more resources