Case Report of International Journal of Case Reports
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.
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.