A rare case of intramural duodenal duplication in a 9-year-old boy
Keywords:
gastrointestinal duplication, endoscopy, surgical treatmentAbstract
Duplication cyst was first described by Fitz in 1884, and the nature of the condition was refined by Gross in 1953. It is a rare congenital anomaly that forms during the embryonic period of alimentary tract development. Digestive duplication cyst occurs most commonly in the distal ileum, followed by the esophagus and duodenum. Duodenal duplication represents only 2% to 12% of digestive tract duplications and has an estimated prevalence of less than 1 per 100,000 live births. This case report describes a 9-year-old boy with a duodenal duplication cyst presenting itself as an accidental finding on ultrasonography of the abdomen in the setting of acute gastroenteritis. A review of literature is also presented to understand its clinical features that enable early diagnosis and also to discuss possible methods of treatment – surgical or endoscopic.
References
Liu R, Adler DG. Duplication cysts: Diagnosis, management, and the role of endoscopic ultrasound. Endosc Ultrasound. 2014 Jul;3(3):152-60.
Calder J. Medical essays and observations. Edinburgh: The Royal College of Physicians of Edinburgh; 1733. p. 205.
Richer JP, Faure JP, Maillot N, Silvain C, Levillain P, Carretier M. Duodenal duplication cyst communicating with the bile duct with a long common biliary-pancreatic channel. Eur J Surg. 2000;166(6):504-7.
Chen JJ, Lee HC, Yeung CY, et al. Meta-analysis: the clinical features of the duodenal duplication cyst. J Pediatr Surg. 2010;45(8):1598-606.
Guarise A, Faccioli N, Ferrari M, et al. Duodenal duplication cyst causing severe pancreatitis: imaging findings and pathological correlation. World J Gastroenterol. 2006;12(10):1630-3.
Niehues R, Dietl KH, Bettendorf O, et al. Duodenal duplication cyst mimicking pancreatic cyst in a patient with pancreatitis. Gastrointest Endosc. 2005;62(1):190-2.
Messina M, Ferrucci E, Meucci D, et al. Neonatal intestinal occlusion due to duodenal duplication in association with malformed gallbladder sludge. Biol Neonate. 2002;81(3):210-2
Menon P, Rao KL, Thapa BR, et al. Duplicated gall bladder with duodenal duplication cyst. J Pediatr Surg. 2013;48(4):e25-8.
Mirza B. Pyloroduodenal duplication cyst: the rarest alimentary tract duplication. APSP J Case Rep. 2012; 3(3):19
Rai BK, Zaman S, Mirza B, et al. Duodenal duplication cyst having ectopic gastric and pancreatic tissues. APSP J Case Rep. 2012;3(2):15.
Haliloglu M, Oto A, Karnak I, et al. Intrapancreatic duodenal duplication cyst with inversion of the superior mesenteric vessels: CT findings. Pediatr Radiol. 2001;31(3):187-8.
Palacios A, De Vera M, Martínez-Escoriza JC. Prenatal sonographic findings of duodenal duplication: case report. J Clin Ultrasound. 2013;41 Suppl 1:1-5.
Romeo E, Torroni F, Foschia F, et al. Surgery or endoscopy to treat duodenal duplications in children. J Pediatr Surg. 2011;46(5):874-8.
Tantemsapya N, Chin A, Melin-Aldana H, Superina RA. Intrapancreatic duodenal duplication cyst as a cause of chronic pancreatitis in a child. Eur J Pediatr Surg. 2010;20(2):125-8.
Salazar E, Sin EI, Low Y, Khor CJ. Insulated-tip knife: an alternative method of marsupializing a symptomatic duodenal duplication cyst in a 3-year-old child. VideoGIE. 2018;3(11):356-7.
Downloads
Published
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
You are free to share, copy and redistribute the material in any medium or format under these terms.
Journal Bulgarian Medical Journal (Български медицински журнал / Bulgarian Medical Journal)
