Duodenal Duplicated Cyst Manifested by Acute Pancreatitis and Obstructive Jaundice in an Elderly Man

Abstract

A duodenal duplication cyst is an uncommon congenital anomaly that is usually encountered during infancy or in early childhood. Duodenal duplication cysts generally appear on the first or second portion of the duodenum and may cause duodenal obstruction, hemorrhage or pancreatitis. Here, we report a case of a duodenal duplication cyst on the second and third portion of the duodenum in an old aged man with obstructive jaundice and acute pancreatitis, which was treated successfully by a surgical excision.

Duodenal Duplication Cyst (DDC) Communicating with the Pancreatobiliary Duct—A Rare Cause of Recurrent Acute Pancreatitis in Adults

“…6 External compression or distortion of the distal CBD may lead to jaundice. 7 Ectopic gastric epithelium is present in about 15% of DDC, predisposing the patient to peptic ulceration, hemorrhage, 8 and perforation. 9 Rare complications such as stone formation within the cyst, 10 infection, 11 infarction, 12 perforation, 13 To make a diagnosis of DDC, the duplication cyst must be adherent to a portion of the duodenum, contain a smooth muscle layer, and be lined by alimentary epithelium, which may be that of the adjacent bowel, ectopic gastric, 9 squamous, transitional, ciliated mucosa, or pancreatic tissue.…”

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

“…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].…”

“…Duodenal duplication cysts represent only 2% to 12% of all alimentary tract duplications [3][4][5][6][7][8]. The possible pathophysiology is duodenal epithelial pinching during the outgrowth of the dorsal pancreatic bud or epithelial sequestration [32].…”

“…Duodenal duplication cyst is extremely rare. It represents only 2% to 12% of digestive tract duplications [3][4][5][6][7][8] and has an estimated prevalence of less than 1 per 100,000 live births [5,9]. This report describes a patient with a duodenal duplication cyst diagnosed after months of recurrent abdominal pain.…”

Akut pankreatit ile başvuran bir duodenal duplikasyon kisti olgusu

“…DDK'nin, embriyonik dö-nemde dorsal pankreas tomurcu¤unun afl›r› büyümesinden dolay› duodenum epitelini s›k›flt›rmas› sonucu olufltu¤u düflü-nülmektedir. DDK küresel veya bazen boru "tubular" görü-nümde olup içte mukozal tabaka ve d›flta düz kas tabakas›n-dan oluflur ve 1:100.000 do¤umdan daha az s›kl›kta görülür (2,6,7). Genelde çocukluk ça¤›nda kar›n a¤r›s›, kilo kayb›, bulant›, kusma gibi yak›nmalarla belirti verir, t›kanma sar›l›¤› ve tekrarlayan ve/veya kronik pankreatite neden olabilir.…”