Duodenal duplication revealed by acute pancreatitis. A case report.
Keywords:
Duplication, duodenum, pancreatitis, infantAbstract
Background: Duodenum duplications are uncommon congenital anomalies. Most symptomatic cases are diagnosed in childhood and usually present with obstructive or bleeding symptoms. Acute pancreatitis is rarely attributed to these cysts.
Aim: To report a new case of duodenum duplication revealed by acute pancreatitis.
Case report: This 3 year old child presented with an acute pancreatitis. Abdominal ultrasonography and Computer tomography were performed showing a cystic mass depending of the 2nd duodenum. Diagnosis of duodenal duplication is made in laparotomy. A surgical resection of the duplication was performed
respecting the papilla. Microscopic examination of the specimen confirmed the duodenal duplication. The patient was asymptomatic after the intervention.
Conclusion: Duodenum duplications are uncommon congenital anomalies. Acute pancreatitis might be revealing presentation.
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References
Antaki F, Tringali A, Deprez P et al. Endoscopic treatment of duodenal duplication cysts. Gastrointest Endosc 2008; 67:163-8.
Stelling T, Rooij WJJ, Tio TL, et al. Pancreatitis associated with congenital duodenal duplication cyst in an adult. Endoscopy 1987; 19:171-3.
Mattioli G, Buffa P, Pesce F et al. Pancreatitis Caused by Duodenal Duplication. J Pediatr Surg 1999; 34:645-6.
Okuyama.H, Matsuo.Y, Fukui.Y et al. Intrapancreatic Duodenal Duplication Associated With Pancreatic Pseudocysts. J Pediatr Surg 1992 ;27 :1573-4.
cyst communicating with aberrant pancreatic duct: A rare cause of recurrent acute pancreatitis. Surgery 1987; 101:372-9.
Merrot T, Anastasescu R, Pankevych T, et al. Duodenal duplications. Clinical characteristics, embryological hypotheses, histological findings, treatment. Eur J Pediatr Surg 2006; 16:18- 23.
Ackerman NB. Duodenal duplication cysts: diagnosis and operative management. Surgery 1974; 76:330-3.
Traif I, Khan MH. Endoscopic drainage of a duodenal duplication cyst. Gastrointest Endosc 1992; 38:64-5.
Vandenbroucke F, Dagenais M, Letourneau R, et al. Endoscopic treatment of a duodenal duplication cyst. Endoscopy 2005; 37:601.
