Acute pancreatitis caused by a duodenal duplication cyst covering the ampulla of Vater

Abstract Duodenal duplication cyst is not a common congenital anomaly and the pathophysiology may become very complicated if the cyst is situated at the ampulla of Vater. Here we report a very rare female case of duodenal duplication cyst at the ampulla of Vater, which caused acute pancreatitis due...

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Bibliographic Details
Published in:Journal of pediatric surgery case reports 2018-07, Vol.34 (C), p.23-26
Main Authors: Ogawa, Katsuhiro, Kanamori, Yutaka, Watanabe, Toshihiko, Tomonaga, Kotaro, Kutsukake, Mai, Goto, Michiko, Ohno, Michinobu, Tahara, Kazunori, Hishiki, Tomoro, Fujino, Akihiro
Format: Article
Language:English
Subjects:
Ampulla of Vater
Duodenal atresia
Duodenal duplication cyst
Surgery
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Summary:Abstract Duodenal duplication cyst is not a common congenital anomaly and the pathophysiology may become very complicated if the cyst is situated at the ampulla of Vater. Here we report a very rare female case of duodenal duplication cyst at the ampulla of Vater, which caused acute pancreatitis due to massive protein plaques in the pancreatic duct. She had a past history of double duodenal atresia and underwent surgery as a neonate. The correct diagnosis could not be determined before the second operation at four years of age and the exact pathophysiology finally became apparent during the operation with a contrast medium study and duodenotomy. We discuss the complicated clinical features and diagnostic and treatment procedures before and during the operation.
ISSN:2213-5766
2213-5766
DOI:10.1016/j.epsc.2018.04.019