Ileo-cecal Sphincteric Duplication-Total Cyst Excision with Ileo-cecal Valve Preservation

We report a case of prenatally diagnosed and postnatally confirmed ileal duplication cyst situated close to ileo-cecal valve. The size of the cyst was smaller than 5 cm diameter and an elective admission with laparoscopic excision was planned at 3 months of age to avoid any anesthetic or hospitalization related complications. However, the infant presented in emergency with massive lower gastrointestinal bleeding requiring transfusion. At exploration, a terminal ileal duplication cyst in the ileocecal sphincteric area was found which was excised without resection of bowel or the ileocecal valve. Histopathological examination confirmed ectopic gastric mucosa with ulceration in the transitional area. The case is very interesting and the debate about the conservation or the resection of the ileocecal valve in ileocecal cyst duplication has been presented with review of relevant literature.