Abstract / Summary
Cecal duplication cysts are rare congenital gastrointestinal anomalies that are most commonly diagnosed in infancy. Presentation beyond early childhood is unusual and may lead to misdiagnosis because symptoms often mimic common pediatric gastrointestinal conditions. Reporting such cases is important to highlight diagnostic challenges and improve clinical awareness. An 8-year-old Syrian female presented with persistent vomiting, abdominal pain, constipation, and intermittent fever. Initial evaluation led to a diagnosis of gastroenteritis; however, symptoms failed to resolve. Imaging revealed a large cystic lesion in the right iliac fossa. Surgical exploration identified a cecal duplication cyst extending from the proximal ascending colon. Complete surgical resection with ileocolic anastomosis was performed. Histopathological examination confirmed the diagnosis. The postoperative course was uneventful, and the patient recovered fully without complications. This case highlights the diagnostic difficulty of cecal duplication cysts in older children and emphasizes the need to consider rare congenital anomalies in patients with persistent abdominal symptoms. Early imaging and timely surgical management are essential to achieve favorable outcomes.