October 1980

Picture of the Month

Author Affiliations

From the Newborn Service, Department of Pediatrics, Fitzsimons Army Medical Center, Denver.

Am J Dis Child. 1980;134(10):985-986. doi:10.1001/archpedi.1980.02130220061017

Denouement and Discussion 

Enteric Duplication Cyst 

Manifestations  Enteric duplications can occur anywhere along the alimentary tract. Most often found in the ileum, duplications have been reported to occur from the tongue to the anus. The duplication may be either tubular or cystic and is usually lined with mucosa similar to that of the adjacent alimentary tract structures; however, the mucosa may be similar to the more distant alimentary structures.Enteric duplications occurring in the tongue are unusual, with, to our knowledge, less than ten cases reported. Manifestations, which are usually related to feeding difficulties, depend on the size of the lesion, the presence of communication with the oral cavity, compression of adjacent structures, and the presence of heterotopic mucosa. Respiratory embarrassment due to an enteric duplication cyst occurring in the tongue has not (to our knowledge) been reported. Although enteric duplications, in general, have a high incidence of associated anomalies (vertebral and gastrointestinal), no other anomalies have