Our Summary

This research paper discusses a case study of a rare birth defect known as an enteric duplication cyst (EDC), which can occur anywhere in the gastrointestinal tract, but is most commonly found in the ileum (a part of the small intestine). However, in this case, the baby boy had a cyst in the pylorus (the area that connects the stomach to the small intestine), which is even more rare, with only 5-7% of EDCs originating from this area.

The cyst was detected while the mother was still pregnant through an ultrasound, which showed a mass. After the baby was born, another ultrasound was performed which suggested that the mass had a three-layered wall, a characteristic of this type of cyst.

The cyst was surgically removed and further tests confirmed it to be a pyloric duplication cyst. The baby is now healthy and gaining weight at a normal rate.

FAQs

  1. What is an enteric duplication cyst (EDC)?
  2. How is a pyloric duplication cyst diagnosed and confirmed?
  3. What is the prognosis after pyloric duplication cyst resection?

Doctor’s Tip

A helpful tip a doctor might tell a patient about tumor resection is to follow post-operative care instructions carefully, including taking prescribed medications, attending follow-up appointments, and monitoring for any signs of infection or complications. It is important to communicate any concerns or changes in symptoms to your healthcare provider promptly. Additionally, maintaining a healthy lifestyle with regular exercise, a balanced diet, and avoiding tobacco and excessive alcohol consumption can help promote healing and prevent future health issues.

Suitable For

Patients with tumor resection are typically recommended for those with enteric duplication cysts, such as pyloric duplication cysts. In this case, the patient was a 3-hour-old male with a prenatal ultrasound showing a cystic mass, which was confirmed with an abdominal ultrasound after birth. The diagnosis was made during surgery and the cyst was resected, leading to a successful outcome for the patient. Follow-up appointments showed appropriate weight gain, indicating a positive prognosis.

Timeline

Before tumor resection:

  • Prenatal ultrasound showing a cystic mass
  • Abdominal ultrasound after birth showing a mass with probable trilaminar wall
  • Diagnosis of pyloric duplication cyst made in surgery

After tumor resection:

  • Histopathologic examination confirming the diagnosis
  • Patient doing well with appropriate weight gain at follow-up appointments

What to Ask Your Doctor

  1. What is a pyloric duplication cyst and how is it different from other types of enteric duplication cysts?

  2. What are the symptoms and potential complications associated with a pyloric duplication cyst?

  3. How is a pyloric duplication cyst typically diagnosed?

  4. What are the treatment options for a pyloric duplication cyst, and why is surgical resection usually recommended?

  5. What are the risks and benefits of undergoing tumor resection surgery for a pyloric duplication cyst?

  6. What is the expected outcome and recovery process following tumor resection for a pyloric duplication cyst?

  7. Are there any long-term implications or follow-up care needed after surgical resection of a pyloric duplication cyst?

  8. Are there any specific dietary or lifestyle recommendations to follow after surgery for a pyloric duplication cyst?

  9. Are there any genetic factors or underlying conditions that may have contributed to the development of the pyloric duplication cyst?

  10. Are there any support resources or organizations that specialize in enteric duplication cysts that you recommend for further information or assistance?

Reference

Authors: Morgan AD, Ma BL, Parrish DW. Journal: Am Surg. 2023 Aug;89(8):3641-3642. doi: 10.1177/00031348231161717. Epub 2023 Apr 27. PMID: 37102309