PMC3388337_01
Coronal reconstruction image shows a tortuous tubular cyst with partial obscure wall.
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Abdominal CT scan showed a giant abdominal cystic mass, which was tortuous and about 27 cm in length and 7.6 cm in width (Figure 1).
Axial CT shows cystic wall with punctate calcification in the distal portion.
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Punctate calcification was also found in the distal end of the cystic wall (Figure 2).
Coronal reconstruction image shows decreased cyst with enhanced wall and absorption of inflammation around it.
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Reexamination of abdominal CT showed marked decrease in the size of the cystic mass, the increased thickness of the cystic wall, and the absorption of inflammatory reaction surrounding the cyst (Figure 3).
The resected specimen shows ileal mucus gland and esophageal squamous epithelium (HE x40).
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The final histopathological outcomes were consistent with ileal duplication with ectopic esophageal epithelium and ileal mucus glands (Figure 4).