Recurrent acute pancreatitis secondary to a duodenal duplication cyst in an adult. A case report and literature review

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...

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Bibliographic Details
Published in:Canadian journal of gastroenterology 2009-11, Vol.23 (11), p.749-752
Main Authors: Salemis, Nikolaos S, Liatsos, Christos, Kolios, Michail, Gourgiotis, Stavros
Format: Article
Language:English
Subjects:
Acute Disease
Brief Communication
Cysts - complications
Cysts - congenital
Cysts - pathology
Cysts - surgery
Diagnosis, Differential
Duodenal Diseases - complications
Duodenal Diseases - congenital
Duodenal Diseases - pathology
Duodenal Diseases - surgery
Duodenum - abnormalities
Duodenum - pathology
Humans
Laparotomy
Male
Middle Aged
Pancreatitis - etiology
Pancreatitis - physiopathology
Pancreatitis - therapy
Rare Diseases
Recurrence
Tomography, X-Ray Computed
Ultrasonography
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Summary: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 x 4 cm x 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.
ISSN:0835-7900
DOI:10.1155/2009/979431