Skip to main content

Abdominal Cysts and Duplications

  • Chapter
  • First Online:
Fundamentals of Pediatric Surgery

Abstract

Many abdominal cysts and duplications are asymptomatic and discovered incidentally by prenatal US or imaging performed for nonspecific symptoms. Intestinal duplications are somewhat rare, with the majority found in the small intestine, colon, or duodenum and more rarely in the rectum or esophagus. Synchronous abdominal and thoracic duplications can also occur. The diagnosis can be made by radiographic imaging but is often discovered intraoperatively. The goal of treatment is always complete removal of cyst or duplication, but this is not always feasible or safe, in which case at minimum the internal secretory lining should be stripped. In some cases, it may be acceptable to marsupialize the cyst or create continuity between the interior of the cyst and an adjacent bowel lumen. The overall prognosis for most abdominal cysts is excellent, especially for small isolated duplication cysts. Malignant degeneration of duplication cysts is a rare but serious complication.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Suggested Reading

  • Azzie G, Beasley S. Diagnosis and treatment of foregut duplications. Semin Pediatr Surg. 2003;12(1):46–54.

    Article  PubMed  Google Scholar 

  • Cauchi JA, Buick RG. Duodenal duplication cyst: beware of the lesser sac collection. Pediatr Surg Int. 2006;22(5):456–8.

    Article  CAS  PubMed  Google Scholar 

  • Chang TS, Ricketts R, Abramowsky CR, Cotter BD, Steelman CK, Husain A, Shehata BM. Mesenteric cystic masses: a series of 21 pediatric cases and review of the literature. Fetal Pediatr Pathol. 2011;30(1):40–4.

    Article  PubMed  Google Scholar 

  • Charlesworth P, Ade-Ajayi N, Davenport M. Natural history and longterm follow-up of antenatally detected liver cysts. J Pediatr Surg. 2007;42(3):494–9.

    Article  PubMed  Google Scholar 

  • Dabdoub CB, Dabdoub CF, Chavez M, et al. Abdominal cerebrospinal fluid pseudocyst: a comparative analysis between children and adults. Childs Nerv Syst. 2014;30(4):579–89.

    Article  PubMed  Google Scholar 

  • Focseneanu MA, Omurtag K, Ratts VS, Merritt DF. The auto-amputated adnexa: a review of findings in a pediatric population. J Pediatr Adolesc Gynecol. 2013;26(6):305–13.

    Article  PubMed  Google Scholar 

  • Foley P, Sithasanan N, McEwing R, et al. Enteric duplications presenting as antenatally detected abdominal cysts: is delayed resection appropriate? J Pediatr Surg. 2003;38(12):1810–3.

    Article  CAS  PubMed  Google Scholar 

  • Laje P, Martinez-Ferro M, Grisoni E, et al. Intraabdominal pulmonary sequestration. A case series and review of the literature. J Pediatr Surg. 2006;41(7):1309–12.

    Article  PubMed  Google Scholar 

  • Menon P, Rao K, Vaiphei K. Isolated enteric duplication cysts. J Pediatr Surg. 2004;39(8):e5–7.

    Article  PubMed  Google Scholar 

  • Mobley III L, Doran S, Hellbusch L. Abdominal pseudocyst: predisposing factors and treatment algorithm. Pediatr Neurosurg. 2005;41(2):77–83.

    Article  PubMed  Google Scholar 

  • Tawil K, Crankson S, Emam S, et al. Cecal duplication cyst: a cause of intestinal obstruction in a newborn infant. Am J Perinatol. 2005;22(1):49–52.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Patricia A. Lange MD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing AG

About this chapter

Cite this chapter

Lange, P.A. (2017). Abdominal Cysts and Duplications. In: Mattei, P., Nichol, P., Rollins, II, M., Muratore, C. (eds) Fundamentals of Pediatric Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-27443-0_48

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-27443-0_48

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-27441-6

  • Online ISBN: 978-3-319-27443-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics