Navigating the Diagnostic Dilemma: Cecal Duplication Cyst and Intussusception in Pediatric Patients

Intestinal duplication cyst is a rare congenital anomaly of the digestive tract, which usually affects infants and toddlers. Symptoms are often subtle and nonspecific; thus, a high level of suspicion is critical to a prompt diagnosis. We present a case of cecal duplication cyst in a 17-month-old toddler, who was initially referred to our department with colicky abdominal pain and vomiting. Transabdominal ultrasound indicated intussusception, necessitating barium enema reduction under fluoroscopic guidance. Nevertheless, the fluoroscopic reduction failed, and urgent laparotomy was performed. This report aims to highlight the diagnostic approach and surgical management of this anatomical malformation in pediatric patients.