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CASE REPORT
Korean J Pediatr 2018 April;61(4) :132-134.
Published online 2018 April 15.       
Intestinal duplication revealed by posterior reversible encephalopathy syndrome
Yosra Kerkeni1, Hela Louati2, Mourad Hamzaoui1
1Department of Pediatric Surgery "A", Children Hospital "Bechir Hamza" of Tunis, Tunisia Université de Tunis El Manar, Faculté de Médecine de Tunis, Tunis, Tunisia
2Department of Radiology, Children Hospital "Bechir Hamza" of Tunis, Tunisia Université de Tunis El Manar, Faculté de Médecine de Tunis, Tunis, Tunisia
Corresponding Author: Yosra Kerkeni ,Tel: +21620574026, Fax: +21671562810, Email: yosrakerkeni@yahoo.fr
Copyright © 2018 by The Korean Pediatric Society
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.
Keywords: Posterior Reversible Encephalopathy Syndrome | Cyst | Ileum | Metoclopramide | Hypertension
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