Biliary dilatation and duodenal intussusception secondary to enteric duplication cyst: MDCT diagnosis

Morley, Nicholas; Pyrros, Ayis; Yaghmai, Vahid; Miller, Frank H.; Nikolaidis, Paul

doi:10.1007/s10140-008-0720-7

Cited by 7 publications

(11 citation statements)

References 10 publications

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“…The most common presenting symptom is abdominal pain; the most common associated finding is pancreatitis. Intussusception of a duodenal duplication cyst is very rare, of which there have only been two other reports in the literature [3,4]. Other, more commonly described lead points causing duodenal intussusceptions, described in the literature include duodenal adenomas, lipomas, hamartomatous polyps, and hyperplasia [5].…”

Section: Discussionmentioning

confidence: 95%

Rare presentation of pancreatitis secondary to intussusception of duodenal duplication cyst, a pediatric case report

Shakhnovich

Colombo

Desai

et al. 2014

Journal of Pediatric Surgery Case Reports

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a b s t r a c tDuodenal duplication cysts are rare congenital malformations of which there is limited literature in the pediatric population. The most common presentation in symptomatic patients is abdominal pain and pancreatitis. We present a case of a 14 year old female that presented with emesis, abdominal pain, weight loss, and admission biochemical profile concerning for acute pancreatitis in conjunction with severe hypochloremic, hypokalemic metabolic alkalosis. Further imaging was highly suggestive of duodeno-duodenal intussusception causing obstruction of the pancreatic duct. Patient was taken emergently to the operating room for exploration. Patient underwent laparoscopic assisted reduction of intussusception and resection of duodenal duplication cyst. Patient tolerated the surgery well, and was able to be discharged home in stable condition soon after. There have been no cases reported in the literature that describe pancreatitis secondary to intussusception of duodenal duplication cyst. When diagnosed early, these patients can be safely managed laparoscopically even in emergent settings.Ó 2014 The Authors. Published by Elsevier Inc. All rights reserved.Duodenal duplication cysts are rare congenital malformations of the intestinal tract, for which there is limited literature in the pediatric population. The most common presentations of symptomatic cysts include abdominal pain and pancreatitis [1]. We present the first case of pancreatitis secondary to intussusception of duodenal duplication cyst in the pediatric population, requiring emergent surgical intervention.

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Section: Discussionmentioning

confidence: 95%

Rare presentation of pancreatitis secondary to intussusception of duodenal duplication cyst, a pediatric case report

Shakhnovich

Colombo

Desai

et al. 2014

Journal of Pediatric Surgery Case Reports

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“…The most common CT manifestation was an intraluminal mass, seen in 90% (27/ 30) of cases; however, this sign is not specific for intussusception. Several characteristic CT findings were reported, including a target-like mass, a sausage-shaped mass, or a reniform (pseudokidney) mass [19,27,28]. It appears as a target-like mass when the beam is perpendicular to the longitudinal axis but as a sausageshaped or a reniform mass when the CT beam is parallel to its longitudinal axis.…”

Section: Discussionmentioning

confidence: 95%

“…In general, most cases (90%) were revealed to be tumor-related and benign tumors do so more frequently because they are more common and mobile. In addition, five (10%) patients were secondary to a non-neoplastic lesion, including one duodenal diverticulum [7] and four duodenal duplication cysts [16,27,36,43]. The incidence in each part of the duodenum was dependent on the location of these lesions ( Table 1).…”

Section: Discussionmentioning

confidence: 99%

Duodenal intussusception due to a giant neuroendocrine carcinoma in a patient with Peutz–Jeghers syndrome

Chen

Yu²,

Yang³

et al. 2012

European Journal of Gastroenterology & Hepatology

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Duodenal intussusception is a rare entity. To date, only a few cases have been reported in the literature. In this report, a case of duodenal intussusception due to an unusual tumor was presented and the clinical features of this entity were discussed. A 42-year-old man with Peutz-Jeghers syndrome presented with epigastric pain, vomiting, and severe anemia. Computed tomography scan revealed synchronous duodenojejunal and jejunojejunal intussusceptions. An emergency laparotomy revealed a polypoid mass originating from the lateral wall of the descending duodenum with intussusception of the distal duodenum. Histological examination demonstrated a poorly differentiated neuroendocrine carcinoma with muscularis infiltration, vascular invasion, and a Ki-67 index of 20%. A comprehensive literature search revealed 44 English reports that provided adequate descriptions of an additional 47 such cases. Clinical presentation was usually chronic and nonspecific. Diagnostic modalities included ultrasonography, upper gastrointestinal series, computed tomography, and endoscopy. Five patients were due to a non-neoplastic lesion; however, the other 43 patients were secondary to a tumor, benign in 35 cases and malignant in eight cases. Only one patient was treated by endoscopic polypectomy, whereas the remaining underwent open surgeries. Duodenal intussusception is a challenging condition due to its rarity and nonspecific presentation. It should be considered in the differential diagnosis of gastric outlet obstruction, upper gastrointestinal bleeding, pancreatitis, and obstructive jaundice.

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“…Jo et al [7] defined 3 criteria for the diagnosis, including the presence of an intimate attachment to the native gastrointestinal tract, a smooth muscle coat, and an alimentary mucosal lining. Digestive duplication cyst occurs most commonly in the distal ileum, followed by the esophagus and duodenum [7,12].…”

Section: Discussionmentioning

confidence: 99%

Meta-analysis: the clinical features of the duodenal duplication cyst

Chen¹,

Lee²,

Yeung³

et al. 2010

Journal of Pediatric Surgery

113

140

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Biliary dilatation and duodenal intussusception secondary to enteric duplication cyst: MDCT diagnosis

Cited by 7 publications

References 10 publications

Rare presentation of pancreatitis secondary to intussusception of duodenal duplication cyst, a pediatric case report

Rare presentation of pancreatitis secondary to intussusception of duodenal duplication cyst, a pediatric case report

Duodenal intussusception due to a giant neuroendocrine carcinoma in a patient with Peutz–Jeghers syndrome

Meta-analysis: the clinical features of the duodenal duplication cyst

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