Presenter Status
Fellow
Abstract Type
Case Report
Primary Mentor or Principal Investigator
Dr. Kathyn (Katy) Clarkston
Presentation Type
Poster
Start Date
19-5-2026 12:00 PM
End Date
19-5-2026 1:00 PM
Abstract Text
Enteric duplication cysts (EDCs) are rare congenital anomalies of the gastrointestinal (GI) tract that may present with abdominal pain, vomiting, palpable mass, or bleeding, depending on their location. We present a case of a 9-year-old male with recurrent rectal bleeding who was ultimately diagnosed with an EDC via small bowel capsule endoscopy and laparoscopy. The patient had a history of iron deficiency anemia and recurrent admissions for hematochezia and fatigue. Previous imaging and endoscopy procedures were unrevealing. A small bowel capsule was completed and identified an area of narrowing, mucosal disruption, and ulceration suggestive of a short-segment stricture. Additionally, another segment appeared to have a double-lumen with surface ulceration concerning for a Meckel’s diverticulum. Exploratory laparoscopy revealed a large, hypervascular segment of small bowel adherent to the mesentery, proximal to the terminal ileum, with small bowel entering and exiting the mass. This segment was resected and identified as an EDC.
Unclear source of Gastrointestinal Bleeding: Utilizing Small Bowel Capsule to Detect an Enteric Duplication Cyst
Enteric duplication cysts (EDCs) are rare congenital anomalies of the gastrointestinal (GI) tract that may present with abdominal pain, vomiting, palpable mass, or bleeding, depending on their location. We present a case of a 9-year-old male with recurrent rectal bleeding who was ultimately diagnosed with an EDC via small bowel capsule endoscopy and laparoscopy. The patient had a history of iron deficiency anemia and recurrent admissions for hematochezia and fatigue. Previous imaging and endoscopy procedures were unrevealing. A small bowel capsule was completed and identified an area of narrowing, mucosal disruption, and ulceration suggestive of a short-segment stricture. Additionally, another segment appeared to have a double-lumen with surface ulceration concerning for a Meckel’s diverticulum. Exploratory laparoscopy revealed a large, hypervascular segment of small bowel adherent to the mesentery, proximal to the terminal ileum, with small bowel entering and exiting the mass. This segment was resected and identified as an EDC.


Comments
Poster Board Number: 5