Sonographic pitfalls in the diagnosis of enteric duplication cysts.

AJR Am J Roentgenol

Department of Diagnostic Radiology, Queen's University, Kingston General Hospital, 76 Stuart St., Kingston, ON K7L 2V7, Canada.

Published: February 2005

AI Article Synopsis

  • - The sonographic double wall sign is commonly associated with diagnosing enteric duplication cysts, but there can be misdiagnoses, as illustrated by two cases that were incorrectly identified as enteric cysts despite the sign being present.
  • - A third case, lacking the double wall sign, ultimately confirmed the presence of a duplication cyst, highlighting the potential for errors in sonographic diagnosis.
  • - Enhanced imaging techniques that allow for clearer visualization of the muscular layers in the cyst may improve diagnostic accuracy for identifying duplication cysts.

Article Abstract

Objective: The sonographic double wall sign has been well described in the literature and is often the cornerstone in suggesting the diagnosis of an enteric duplication cyst. We report two cases with this sign that were erroneously diagnosed as enteric cysts and a third case without this sonographic feature that proved to be a duplication cyst. Histologic analysis of the specimens helps explain the cause of the sonographic pitfalls.

Conclusion: The potential sonographic visualization of the split hypoechoic muscularis propria layer or identification of all five layers will increase the specificity in making the sonographic diagnosis of duplication cyst.

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Source
http://dx.doi.org/10.2214/ajr.184.2.01840521DOI Listing

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