Giant ileal duplication cyst presenting as malrotation
Bibliographic record
Abstract
Alimentary Tract Duplications (ATDs) are rare anomalies. The ileum is the most common site. Completely isolated ileal duplication cysts (IDCs) are a small subgroup of IDCs that do not communication with the gastrointestinal tract. These cysts may manifest in a variety of ways. We discuss a six-day-old female infant who presented with clinical and radiologic features of malrotation. At the time of laparotomy the bowel rotation was found to be normal, however an isolated IDC was found and resected. Ileal duplication cysts often present with bowel obstruction. In rare cases these can present with features of malrotation on upper gastrointestinal contrast series, thus detracting from the real pathology. We identify a rare case of completely isolated IDC presenting as malrotation in a six-day-old female infant, which was promptly recognized and surgically managed. We suspect that the weight of the duplication cyst displaced the bowel inferiorly and thus gave the radiographic appearance of malrotated bowel.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".