scholarly journals Recurrent Acute Pancreatitis Secondary to a Duodenal Duplication Cyst in an Adult. A Case Report and Literature Review

2009 ◽  
Vol 23 (11) ◽  
pp. 749-752 ◽  
Author(s):  
Nikolaos S Salemis ◽  
Christos Liatsos ◽  
Michail Kolios ◽  
Stavros Gourgiotis

Duodenal duplication cysts are rare congenital abnormalities that are most commonly diagnosed in infancy and childhood. However, in rare cases, the lesion can remain asymptomatic until adulthood. An extremely rare case of a previously healthy adult patient with recurrent acute pancreatitis, who was diagnosed with a duodenal duplication cyst is presented. At laparotomy, a duplication cyst measuring 4.8 cm × 4 cm × 4 cm was found adjacent to the ampulla of Vater. A partial cyst excision and marsupialization into the duodenal lumen was performed. The patient is healthy and asymptomatic four years after surgery. The present case illustrates the necessity of considering a duodenal duplication cyst in the differential diagnosis of recurrent acute pancreatitis in previously healthy adults.

2018 ◽  
Vol 34 ◽  
pp. 23-26
Author(s):  
Katsuhiro Ogawa ◽  
Yutaka Kanamori ◽  
Toshihiko Watanabe ◽  
Kotaro Tomonaga ◽  
Mai Kutsukake ◽  
...  

2019 ◽  
Vol 7 (9) ◽  
pp. 1802-1803
Author(s):  
Giuseppe Cicero ◽  
Francesca Catanzariti ◽  
Ugo Barbaro ◽  
Velio Ascenti ◽  
Silvio Mazziotti

Author(s):  
Sara Teles de Campos ◽  
Ricardo Rio-Tinto ◽  
Miguel Bispo ◽  
Susana Marques ◽  
Paulo Fidalgo ◽  
...  

<b><i>Background:</i></b> Duodenal duplication cysts (DDCs) are rare congenital anomalies typically manifesting during childhood. Clinical manifestations are uncommon in adulthood. DDCs were classically treated surgically, but endoscopic treatment has been increasingly reported. Endoscopic cyst marsupialization establishes a communication between the cyst cavity and the duodenal lumen so that the cystic content can be drained continuously into the duodenum. We herein describe two cases of symptomatic DDCs diagnosed in adulthood and submitted to endoscopic marsupialization using different techniques and devices. <b><i>Case Summary:</i></b> Case 1: A 23-year-old female patient was admitted with the diagnosis of acute pancreatitis. Endoscopic ultrasound revealed a 35-mm duodenal subepithelial lesion whose proximal limit was immediately distal to the ampulla of Vater and filled with fluid and calcifications. Using a duodenoscope, deroofing of the lesion was made with a diathermic snare. Pathology confirmed the diagnosis of DDC. Case 2: A 41-year-old female, submitted to laparoscopic cholecystectomy 1 month earlier due to suspected lithiasic acute pancreatitis, was admitted due to suspicion of iatrogenic biliary fistula. An endoscopic retrograde cholangiopancreatography was performed and the bile leak was treated. Immediately distal to the papillary orifice, a 20-mm subepithelial lesion was also detected. A biopsy forceps was used to fenestrate its wall, allowing the exit of mucous fluid and stones, and a sphincterotome was used to expand the incision. No recurrence was documented in both cases. <b><i>Conclusion:</i></b> These cases highlight DDC as a potential cause for acute pancreatitis in adults and endoscopy as an easy treatment option.


Pancreatology ◽  
2016 ◽  
Vol 16 (4) ◽  
pp. S163-S164
Author(s):  
Hayato Miyake ◽  
Hiroaki Yasuda ◽  
Kanetoshi Suwa ◽  
Toshifumi Doi ◽  
Ryusuke Kato ◽  
...  

2015 ◽  
Vol 110 ◽  
pp. S474-S475
Author(s):  
Asha Kuruvilla ◽  
Crystal M. Bowden ◽  
Siddharth B. Javia ◽  
Dishita Pandya ◽  
Jennifer Lamberth ◽  
...  

2018 ◽  
Vol 7 (3) ◽  
pp. 39
Author(s):  
Nahla Kechiche ◽  
Rabeb Farhani ◽  
Rachida Lamiri ◽  
Abdelatif Nouri

Prompt preoperative diagnosis of duodenal duplication cyst is uncommon owing to its extreme rarity. The ideal treatment of intestinal duplication cyst is complete surgical excision, though in few cases, due to the proximity to the bilio-pancreatic duct, the complete excision is not possible. We herein present an infant presenting with bilious vomiting starting few days after birth. Ultrasonography and CT scan provided the diagnosis of the duplication cyst in relation to duodenum. A successful surgical management by a subtotal excision was done. Although duodenal duplication is seldom seen, it should be considered in differential diagnoses of upper gastrointestinal tract (GIT) occlusion.


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