Clinical and Experimental Pediatrics

The Korean Pediatric Society (대한소아청소년과학회)
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Intestinal duplication revealed by posterior reversible encephalopathy syndrome

  • Kerkeni, Yosra (Department of Pediatric Surgery "A", Children Hospital "Bechir Hamza" of Tunis, Tunisia Universite de Tunis El Manar, Faculte de Medecine de Tunis) ;
  • Louati, Hela (Department of Radiology, Children Hospital "Bechir Hamza" of Tunis, Tunisia Universite de Tunis El Manar, Faculte de Medecine de Tunis) ;
  • Hamzaoui, Mourad (Department of Pediatric Surgery "A", Children Hospital "Bechir Hamza" of Tunis, Tunisia Universite de Tunis El Manar, Faculte de Medecine de Tunis)
  • Received : 2017.08.29
  • Accepted : 2018.03.05
  • Published : 2018.04.15
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Abstract

We report a unique case of intestinal duplication detected on posterior reversible encephalopathy syndrome (PRES) in a 13-year-old girl. She was admitted to the pediatric Emergency Department because of generalized seizures. Radiological assessment revealed a large, well-defined, thick-walled cystic lesion in the mid abdomen, suggestive of duplication cyst associated to a PRES. Exploration confirmed the diagnosis of ileal duplication cyst, and the mass was resected. The postoperative course was uneventful. Both hypertension and neurological dysfunction resolved after the mass resection. A follow-up brain magnetic resonance imaging was performed 9 months later and showed complete resolution of the cerebellar changes. Although extrinsic compression of the retroperitoneal structures has not been reported in the literature as a complication of duplication cyst, we strongly believe that this is the most logical and plausible hypothesis that would explain the pathogenesis of PRES in our patient.

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References

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