ENTERIC DUPLICATION CYST; A UNIQUE CLINICAL PRESENTATION IN AN ADULT FEMALE

Enteric Duplication Cysts (EDC) are rare congenital malformations, can occur in any part of the gastrointestinal tract and share the muscular wall as well as the common mesenteric vascular supply of the hosting segment. EDC usually become apparent in early childhood but rarely encountered in adults. These malformations can be asymptomatic; however, in adults can be troublesome and associated with several symptomatic complications. In this paper, we report a unique case of a huge ruptured right paracolic duplication cyst in a 32-year-old female who presented with a chief complaint of a right sided abdominal pain and severe constipation. Based upon computed tomography, a Para-colonic duplication cyst of the right colon was tentatively diagnosed. The cyst which appeared non-communicating to the hosting colonic segment was resected laparoscopically, however, shortly afterward; the patient developed a caecal perforation indicating a limited right hemicolectomy. After case discussion, a dedicated part of literature review is also covered. Keywords: Enteric; Duplication; Cyst; Colon; Symptomatic; Complications; Adult patient