Duodenal duplication cyst: a rare cause of gastro-intestinal obstruction


Duodenal duplication cyst: a rare cause of gastro-intestinal obstruction


 S.Jarboui ; A. Saidani, I. farhat, Z. Bokal, D. Cherif.

Department of general surgery-Hopital Mahmoud El Matri –Ariana- Tunisie.
University of Medicine of Tunis El manar – Tunisia.


International-Journal-of-Case-Reports-2d code

Duodenal duplication cysts are rare congenital anomalies usually found in children, but rare cases have been described in adults.
We report the case of a duodenal duplication cyst in a 54-year-old man who presented with a gastrointestinal obstruction inherent to endoluminal hemorrhage. Diagnosis was evocated by endoscopy. It was confirmed by computed tomography, oesogasto duodenal swallowing and magnetic resonance imaging.
Partial cystectomy with mucosal stripping was performed via a midline laparotomy. The patient’s recovery was uneventful. The diagnosis was confirmed by histological examination of the operative specimen.
In elderly patients with atypical presentation associated to cystic structures neighboring the duodenum, a high index of suspicion is required to diagnose this rare congenital pathology. Complete excision is the optimal treatment, but in some cases, partial cystectomy or endoscopic procedures can be performed.


Keywords: duplication, duodenal, congenital, excision.

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How to cite this article:
 S.Jarboui ; A. Saidani, I. farhat, Z. Bokal, D. Cherif. Duodenal duplication cyst: a rare cause of gastro-intestinal obstruction. International Journal of Case Reports, 2017 1:6. DOI:10.28933/ijcr-2017-03-1901


References:

1- Chen J, Lee H, Yeung C, Chan W, Jiang C, Sheu J. Meta-analysis: the clinical features of the duodenal duplication cyst. J of Pediatric Surg 2010; 45: 1598-1606.
2- Chang H, Huang S, Wu R, Yu M. Duodenal duplication cyst: A rare cause of geriatric gastrointestinal bleeding. J of the Chineese Medical Association 2001; 74: 233-236.
3- Uzun M.A, Koksal N, Kayahan M, Celik A, Kiliciglu G, Ozkara S. A rare case of duodenal duplication treated surgically. World J of Gastroenterol 2009; 15: 882-884.
4- J Rocks M.A, McAlister V.C. Endoscopic Fenestration of a duodenal Duplication cyst to resolve Recurrent Pancreatitis. JOP 2007; 8: 795-798.
5- Thorpe M.A, Nijagal A, Mooney D. Surgical management of an intussuscepted duodenal duplication cyst in a pediatric patient with heterotaxy. J Ped Surg Case Reports 2015; 3: 455-458.
6- Jadlowiec C.C, Lobel B.E, Akolkar N, Bourque M.D, Devers T.J, McFadden D.W. Presentation and surgical Management of Duodenal Duplication in Adults. Case Rep Surg 2015:659150. doi: 10.1155/2015/659150.
7- Seeliger B, Piardi T, Marzano E, Mutter D, Marescaux J, Pessaux P. Duodenal Duplication Cyst: A Potentially Malignant Disease. Ann Surg oncol 2012: 19 : 3753-3754.
8- Salemis N.S, Liatsos C, Kolios M, Gourgiotis S. Recurrent acute pancreatitis secondary to a duodenal duplication cyst in an adult. A case report and literature review. Can J Gastroenterol 2009; 23: 750-752.
9- Antaki N, Abboud D, Lemmers A, A ntaki F, Deviere J. Acute recurrent pancreatitis secondary to the rare association of a duodenal duplication cyst and a pancreas divisum. Clin Research Hepatol Gastroenterol 2013; 37: 32-36.
10- Yan X, Fan Y, Wang K, Zhang W, Song Y. Duodenal duplication manifested by abdominal pain and bowel obstruction in an adolescent: a case report. Int J Clin Exp med 2015: 8: 21710-21714.
11- Bong J.J, Spalding D. Duodenal Duplication Cyst (DDC) communicating with the Pancreatobiliary Duct: A rare Cause of Recurrent Acute Pancreatitis in Adults. J Gastrintest Surg 2010; 14: 199-202.
12- Byun J, Oh H, Kim S, Jung H, JUNG S, Park K, Kim W. Laparoscopic partial cystectomy with mucosal stripping of extraluminal duodenal duplication cysts. World J of Gastroenterol 2014; 20: 1123-1126.
13- Yamauchi Y, Hoshimo S, Yamashita Y, Funamoto S, Ishida K, Shirakusa T. Successful resection of an infected Duodenal Duplication Cyst after percutaneous Cyst Drainage: Report of a case. Surg Today 2005; 35: 586-589.