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.

Comments

Poster Board Number: 5

Available for download on Tuesday, May 19, 2026

Share

COinS
 
May 19th, 12:00 PM May 19th, 1:00 PM

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.