12th Apr 2021

ICRI CASE OF THE WEEK

Contributed By : Dr Sheel Satish Shah

MD PDCC
Consulting Radiologist

Advanced Diagnostic Imaging
Vadodara, Gujarat

Copyright of the Case belongs to : Dr Sheel Satish Shah

E Mail - [email protected]

Case History

2.5 year old male
Excessive crying and pain in abdomen
Diarrhoea and now bleeding per rectum since 6 hours
Total counts : 13000
No h/o prior illness or admissions



ULTRASOUND

ULTRASOUND

What is your Diagnosis

Appendicitis
Meckel’s Diverticlum
Enteric Duplication Cyst with Inflammation
Intussusception

Findings & Diagnosis

• Focal cystic outpouching in right Iliac fossa as marked
exophytic luminal distension in the region of terminal
ileum along its anti-mesenteric border, with width
measuring 22 mm and length 19 mm.

• Marked Internal echoes with layering and wall
thickening.

• It is seen at antimesenteric border of ileum.
• Appendix is distinct from the above mentioned Lesion

Enteric Duplication Cyst with Inflammation
involving Terminal Ileum

ENTERIC Duplication Cyst

USG Image showing the typical US features of an EDC
: an inner hyperechoic epithelial lining containing the mucosa
of the alimentary tract and the outer hypoechoic layer of
smooth muscle.