Duodenal Duplication

Inouye, William Y.; Farrell, Corinne; Fitts, William T.; Tristán, Theodore A.

doi:10.1097/00000658-196511000-00016

Cited by 33 publications

(5 citation statements)

References 14 publications

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“…Duplication cysts are usually located at the first and second parts of the duodenum, and the mesenteric side of the anterior wall is becoming more common. Submucosal and intermuscular sites are also described [4, 5]. They can extend into anterior and posterior sides.…”

Section: Discussionmentioning

confidence: 99%

Type B choledochocele vs duodenal duplication cyst: a diagnostic dilemma and its management: a case report

et al. 2019

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Introduction Duplication cyst of the alimentary tract is a rare congenital anomaly. Duodenal duplication cyst accounts for less than 5% overall. These entities rarely present in adults. They are often mistaken as choledochoceles. Management is most often complete excision, but it is individualized to the particular case. Case presentation A 22-year-old woman was admitted to our hospital with a history of intermittent colicky right hypochondrial pain not relieved by any medications for the past 3 months. Initially, she was given proton pump inhibitors, but her pain was not relieved. Further evaluation was done, and preoperative imaging showed a cyst in the second part of the duodenum. Magnetic resonance imaging revealed it as a choledochocele, but duodenal duplication cyst was kept in the differential diagnosis. Further ultrasound identified it to be a duplication cyst. After failed endotreatment, the patient was successfully managed with partial excision and marsupialization. Conclusion Duodenal duplication cyst is uncommon and rarely diagnosed in adults. Duplications in the duodenum should always be a part of the differential diagnosis, especially in cystic lesions. Ultrasonogram of the cyst might lead to the proper diagnosis. Surgery is the treatment of choice if endotherapy is not successful.

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Section: Discussionmentioning

confidence: 99%

Type B choledochocele vs duodenal duplication cyst: a diagnostic dilemma and its management: a case report

et al. 2019

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“…Duodenum duplications usually do not communicate with duodenal lumen and are located along its I and II part, at the mesenteric side. Such a location of duplication may lead to bowel obstruction or symptoms produced by bile ducts or pancreas [ 24 ]. Therefore it requires differentiation with congenital cyst, derived from the above mentioned organs.…”

Section: Discussionmentioning

confidence: 99%

Use of Diagnostic Imaging in the Evaluation of Gastrointestinal Tract Duplications

et al. 2014

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SummaryBackgroundGastrointestinal tract duplication is a rare malformation associated with the presence of additional segment of the fetal gut. The aim of this study was to retrospectively review clinical features and imaging findings in intraoperatively confirmed cases of gastrointestinal tract duplication in children.Material/MethodsThe analysis included own material from the years 2002–2012. The analyzed group included 14 children, among them 8 boys and 6 girls. The youngest patient was diagnosed at the age of three weeks, and the oldest at 12 years of age.ResultsThe duplication cysts were identified in the esophagus (n=2), stomach (n=5), duodenum (n=1), terminal ileum (n=5), and rectum (n=1). In four cases, the duplication coexisted with other anomalies, such as patent urachus, Meckel’s diverticulum, mesenteric cyst, and accessory pancreas. Clinical manifestation of gastrointestinal duplication cysts was variable, and some of them were detected accidently. Thin- or thick-walled cystic structures adjacent to the wall of neighboring gastrointestinal segment were documented on diagnostic imaging.ConclusionsUltrasound and computed tomography are the methods of choice in the evaluation of gastrointestinal duplication cysts. Apart from the diagnosis of the duplication cyst, an important issue is the detection of concomitant developmental pathologies, including pancreatic heterotopy.

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Section: Treatment Optionsmentioning

confidence: 99%

“…Historically, prior attempts to create a drainage limb while leaving an intraluminal cystic duplication intact via a surgical cystjejunostomy resulted in incomplete long-term success primarily because of retained heterotrophic gastric tissue and long-term risk of peptic ulceration, bleeding, or malignancy [ 4 , 5 , 39 ]. Recent advances in endoscopy have expanded on this idea with successful drainage accomplished via endoscopic marsupialization [ 39 ]. Review of the literature finds that there are eight children who underwent endoscopic management and remained asymptomatic after mean follow-up of over seven years, thus suggesting that this may be a safe and effective technique [ 40 , 41 ].…”

Section: Treatment Optionsmentioning

confidence: 99%

Presentation and Surgical Management of Duodenal Duplication in Adults

Jadlowiec

Lobel

Akolkar

et al. 2015

Case Reports in Surgery

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Duodenal duplications in adults are exceedingly rare and their diagnosis remains difficult as symptoms are largely nonspecific. Clinical presentations include pancreatitis, biliary obstruction, gastrointestinal bleeding from ectopic gastric mucosa, and malignancy. A case of duodenal duplication in a 59-year-old female is presented, and her treatment course is reviewed with description of combined surgical and endoscopic approach to repair, along with a review of historic and current recommendations for management. Traditionally, gastrointestinal duplications have been treated with surgical resection; however, for duodenal duplications, the anatomic proximity to the biliopancreatic ampulla makes surgical management challenging. Recently, advances in endoscopy have improved the clinical success of cystic intraluminal duodenal duplications. Despite these advances, surgical resection is still recommended for extraluminal tubular duplications although combined techniques may be necessary for long tubular duplications. For duodenal duplications, a combined approach of partial excision combined with mucosal stripping may offer advantage.

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Duodenal Duplication

Cited by 33 publications

References 14 publications

Type B choledochocele vs duodenal duplication cyst: a diagnostic dilemma and its management: a case report

Type B choledochocele vs duodenal duplication cyst: a diagnostic dilemma and its management: a case report

Use of Diagnostic Imaging in the Evaluation of Gastrointestinal Tract Duplications

Presentation and Surgical Management of Duodenal Duplication in Adults

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