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Il Giornale Italiano di Radiologia Medica 2018 Marzo-Aprile;5(2):267-72

DOI: 10.23736/S2283-8376.18.00040-2

Copyright © 2018 EDIZIONI MINERVA MEDICA

language: Italian

Cystic colonic duplication in the adult patient: the case of a 31-year-old woman

Diletta COZZI 1, Giovanni B. VERRONE 1, Gloria ADDEO 1, Ginevra DANTI 1, Monica M. LANZETTA 1, Lapo BENCINI 2, Giuseppe D’AMICO 1, Vittorio MIELE 1

1 Struttura Operativa Dipartimentale di Radiodiagnostica di Emergenza-Urgenza, Dipartimento dei Servizi, Azienda Ospedaliero-Universitaria Careggi, Firenze, Italia; 2 Struttura Operativa Dipartimentale di Chirurgia Oncologica ad Indirizzo Robotico, Dipartimento di Oncologia, Azienda Ospedaliero-Universitaria Careggi, Firenze, Italia


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Gastrointestinal duplication (cystic or tubular) are rare congenital malformation of child and adult patient that, depending on their localization, may manifest with various clinical symptoms. The diagnosis is not easy because they often complicate in volvulus, bleeding, intestinal obstruction, and come into differential diagnosis with many pathological conditions. Diagnostic imaging plays a crucial role in the diagnostic path, first with ultrasound examination followed by computed tomography or magnetic resonance imaging when possible (especially in children and women in childbearing age). We describe a rare case in a 31-year-old woman with cystic duplication at ascending colon, near the ileocecal valve. Knowledge of physiopathology, clinical manifestations and distinctive features of these congenital malformations allow an accurate diagnosis and allow the patient to be directed to an elective surgery to avoid the onset of serious complications such as neoplastic degeneration.


KEY WORDS: Digestive system abnormalities - Cysts - Congenital abnormalities - Magnetic resonance imaging - Ultrasonography

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