Adenocarcinoma arising in a small bowel duplication cyst
Journal Title: Journal of Medical and Scientific Research - Year 2018, Vol 6, Issue 1
Abstract
Background: Enteric duplication cysts are uncommon congenital anomalies containing a normal gastrointestinal mucosa and smooth muscle layer that can occur anywhere throughout the digestive tract. Duplication cysts have the potential for neoplastic transformation. Case report: This report describes a case of adenocarcinoma arising from a duplication cyst of small bowel, with invasion and breach of cyst wall, in a 40-year-old gentleman. A cystic lesion was found in the small bowel mesentery which had a well circumscribed smooth muscle layer beneath the layer of ulceration consisting of lymphocyte collection, macrophages and degenerating epithelial cells. A well differentiated adenocarcinoma was found within the wall of duplication cyst, invading its serosa and metastasis to mesenteric lymph node. The adjacent bowel segment submitted was having no lesion suggesting that the carcinoma had originated from the duplication cyst. Conclusion: It is difficult to diagnose a malignancy arising in a duplication cyst radiologically therefore a duplication cyst should be surgically removed completely as it carries an unpredictable risk of malignant transformation even if it is asymptomatic or apparently benign.
Authors and Affiliations
Kashif M Mohiuddin, Siva Rao I, Daga Sachin V
Keywords
Related Articles
- EP ID EP552612
- DOI 10.17727/JMSR.2018/6-10
- Views 135
- Downloads 0
Rare presentation of systemic lupus erythematosus
Systemic lupus erythematosus is a prototype systemic autoimmune disease with varied presentations. Cutaneous and musculoskeletal manifestations are common clinical presentations. Severe disease activity results in multio...
Synchronous double malignancy: Acute lymphoblastic leukemia and carcinoma rectum
Synchronous double malignancy involving hematopoietic system and solid organs is rare. We report an interesting case of acute lymphoblastic leukemia (ALL) and carcinoma rectum. High index of suspicion is required in leuk...
Relationship between parathyroid hormone and serum creatinine levels in chronic kidney disease patients
Background: Chronic kidney disease (CKD) is a chronic and progressive disease characterized by renal dysfunction due to the decrease of the glomerular filtration rate (GFR). Hyperparathyroidism—an elevation of parathyroi...
Can serum biomarkers prognosticate out come of traumatic brain injury (TBI)?
Background: Studies regarding ability of serum markers to provide an early insight related to functional outcome of patients with traumatic brain injury (TBI) are limited. Objective: The objective of this study was to e...
Omental torsion with multiple congenital anomalies
Aim: We report two rare cases with complete omental torsion with right sided inguinal hernia, maldescended testis and Meckel’s diverticulum along with review of literature. Patients: Two patients presenting with acute a...