A rare presentation of Y-duplication of the pancreatic tail with enteric duplication cyst as intussusception in a child: A case report

Banerjee, Rupa; Singh, Gaurav; Aggarwal, Satish Kumar

doi:10.1016/j.ijscr.2020.11.131

Cited by 3 publications

(2 citation statements)

References 6 publications

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“…In general, GDCs are almost twice as common in women, and 20% have coexistence of other intestinal duplications. GDCs have been reported to be caused by developmental abnormalities of the foregut, and the two most widely supported hypotheses are Bremer’s recanalization inhibition and McLetchie’s chordal separation [ 5 ]. Communication or fistulation between the GDC and true gastric lumen is very rare, and poorly differentiated epithelium in the GDC wall may lead to carcinogenesis [ 2 ].…”

Section: Discussionmentioning

confidence: 99%

Pancreatic ductal adenocarcinoma in a patient with pancreas divisum and gastrointestinal duplication cyst: a case report

et al. 2021

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Background The complication of duplication of alimentary tracts and pancreas divisum (PD) is a rare malformation and the development of pancreatic ductal adenocarcinoma (PDAC) in this malformation is also extremely rare. There have been some reports of complication of malignancy in a gastric duplication cyst (GDC) and PD. However, there have been no reports of complication of PDAC in cases with GDC and PD. Case presentation A 54-year-old woman was followed up at the previous hospital due to a history of ovarian endometrial adenocarcinoma. She also had a surgical history of partial excision for a GDC and pancreatic tail of PD in her childhood. A gynecological follow-up computed tomography (CT) examination revealed the pancreatic body tumor and the bifurcated main pancreatic duct dilatation. Furthermore, magnetic resonance cholangiopancreatography also revealed that the ventral main pancreatic duct communicated with the GDC. The initial levels of tumor markers were high, but we could not achieve preoperative histopathological diagnosis. The preoperative diagnosis was PDAC occurring in a case with PD and GDC. She received two courses of neoadjuvant chemotherapy with gemcitabine and nab-paclitaxel. A CT examination after neoadjuvant chemotherapy revealed the shrinkage of the tumor, and then we performed distal pancreatectomy with splenectomy and GDC resection. A histopathological examination revealed invasive PDAC and lymph node metastases; pathological staging was T1N1M0, stage III. Furthermore, PD and GDC were also histopathologically detected. The postoperative course was uneventful, and she was discharged on the postoperative day 25. She received S-1 monotherapy for 6 months, and no recurrence has been detected at 1 year after radical resection. Conclusions We herein presented an extremely rare combined case of PD, GDC and PDAC. We successfully treated it by neoadjuvant chemotherapy and distal pancreatectomy with GDC resection, and postoperative chemotherapy.

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Section: Discussionmentioning

confidence: 99%

Pancreatic ductal adenocarcinoma in a patient with pancreas divisum and gastrointestinal duplication cyst: a case report

et al. 2021

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“… 2 The clinical presentation of these malformations has a wide diversity of signs and symptoms including abdominal pain and distension, gastrointestinal bleeding, obstruction or intussusceptions. 3 – 5 Urgent surgical intervention is needed when the severity of symptoms and signs involve significant complications such as massive bleeding or perforation of the intestine. 3 We present a case of a giant gastroduodenal duplication cyst with a juxta-pancreatic communication, a rare intraoperative finding that was successfully treated surgically.…”

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Giant Gastroduodenal Duplication Cyst with Juxta-Pancreatic Communication

Martinez-Paredes

Plata-Diaz

Pinilla

2022

Sultan Qaboos Univ Med J

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Enteric duplication cysts are rare congenital malformations with a low incidence and there are only a few reports in the literature. Their clinical presentation varies according to the location and the type of duplication. Their overall prognosis is good if early surgical intervention is provided. We present a case of a giant gastroduodenal duplication cyst with a juxta-pancreatic communication in a 2-month-old boy who was successfully treated surgically. It is imperative to be aware of this rare congenital malformation that can present clinically with a wide range of non-specific symptoms that can cause significant morbidity and mortality if the treatment is delayed. Keywords: Pancreatic Duct, Congenital Abnormalities, Intestinal Diseases, Newborn.

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