Endoscopic treatment of a duodenal duplication cyst

Kurien, Reuben Thomas; Chowdhury, Sudipta Dhar; Unnikrishnan, Lakshmi; Simon, Ebby George; Dutta, Amit Kumar; Mahanta, Koyeli; Thomas, Alex; Joseph, Anjilivelil Joseph

doi:10.1055/s-0034-1377551

Cited by 7 publications

(5 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It characteristically arises from the mesenteric border of the bowel. 2 Although several cases ( Table 1 ) 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 of adult intestinal duplication have been reported, the present case was unique, in that the mass emerged from the opposite side of the mesenteric margin, which made intestinal obstruction and torsion more likely to occur.…”

Section: Discussionmentioning

confidence: 61%

Report of a rare case and review of adult intestinal duplication at the opposite side of mesenteric margin

et al. 2018

View full text Add to dashboard Cite

CONTEXT: To study the previously discovered clinical entity of adult intestinal duplication and its treatment, and propose an extension to its existing classification. CASE REPORT: We report the case of an adult male with abdominal pain, constipation and vomiting. This patient underwent surgical separation of adhesions, reduction of torsion and intestinal decompression. Postoperative pathological findings confirmed the rare diagnosis of intestinal duplication. CONCLUSION: Adult intestinal duplication is quite rare. Its clinical manifestations are nonspecific. From this finding of intestinal duplication originating at the opposite side of the mesenteric margin, a further extension of the existing anatomical classification is proposed.

show abstract

Section: Discussionmentioning

confidence: 61%

Report of a rare case and review of adult intestinal duplication at the opposite side of mesenteric margin

et al. 2018

View full text Add to dashboard Cite

show abstract

“…Among 25 patients in whom the length of follow-up was reported, all were asymptomatic during mean follow-up of 35.1 ± 48.1 months. Three other patients were reported as asymptomatic at follow-up, but follow-up duration was not reported (patients 23,24,27 59 – 61 ). One patient who had presented with an asymptomatic DDC remained asymptomatic for 3 years after endoscopic therapy (patient 29 63 ).…”

Section: Resultsmentioning

confidence: 99%

Safety and Efficacy of Endoscopic Therapy for Nonmalignant Duodenal Duplication Cysts

et al. 2016

View full text Add to dashboard Cite

Analyze efficacy, safety of endoscopic therapy for duodenal duplication cysts (DDC) by comprehensively reviewing case reports.Tandem, independent, systematic, computerized, literature searches were performed via PubMed using medical subject headings or Keywords “cyst” and “duodenal” and “duplication”; or “cyst”, and “endoscopy” or “endoscopic”, and “therapy” or “decompression”; with reconciliation of generated references by two experts. Case report followed CARE guidelines.Literature review revealed 28 cases (mean = 1.3 ± 1.2 cases/report). Endoscopic therapy is increasingly reported recently (1984–1999: 3 cases, 2000–2015: 25 cases, P = 0.003, OR = 8.33, 95%-CI: 1.77–44.5). Fourteen (54%) of 26 patients were men (unknown-sex = 2). Mean age = 32.2 ± 18.3 years old. Procedure indications: acute pancreatitis-16, abdominal pain-8, jaundice-2, gastrointestinal (GI) obstruction-1, asymptomatic cyst-1. Mean maximal DDC dimension = 3.20 ± 1.53 cm (range, 1–6.5 cm). Endoscopic techniques included cyst puncture via needle knife papillotomy (NKP)/papillotome-18, snare resection of cyst-7, cystotome-2, and cyst needle aspiration/ligation-1. Endoscopic therapy was successful in all cases. Among 24 initially symptomatic patients, all remained asymptomatic post-therapy without relapses (mean follow-up = 36.5 ± 48.6 months, 3 others reported asymptomatic at follow-up of unknown duration; 1 initially asymptomatic patient remained asymptomatic 3 years post-therapy). Two complications occurred: mild intraprocedural duodenal bleeding related to NKP and treated locally endoscopically.A patient is reported who presented with vomiting, 15-kg-weight-loss, and profound dehydration for 1 month from extrinsic compression of duodenum by 14 × 6 cm DDC, underwent successful endosonographic cyst decompression with large fenestration of cyst and endoscopic aspiration of 1 L of fluid from cyst with rapid relief of symptoms. At endoscopy the DDC was intubated and visualized and random endoscopic mucosal biopsies were obtained to help exclude malignant or dysplastic DDC.Study limitations include retrospective literature review, potential reporting bias, limited patient number, variable follow-up.In conclusion, endoscopic therapy for DDC was efficacious in all 29 reported patients including current case, including patients presenting acutely with acute pancreatitis, or GI obstruction. Complications were rare and minor, suggesting that endoscopic therapy may be a useful alternative to surgery for nonmalignant DDC when performed by expert endoscopists.

show abstract

“…It might even end up with a pancreaticoduodenectomy. Since 1984, successful endoscopic therapy for intraluminal duplication cysts, using different methods for creating a wide and persistent opening of the anterior portion of the cyst, has been reported [ 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 ]. It can be done by resecting the cyst roof using a standard polypectomy snare or by a large marsupialization in the roof using a sphincterotome, a needle knife, or an endoscopic dissection knife.…”

Section: Discussionmentioning

confidence: 99%

“…Diagnostic tools include imaging and endoscopy [ 5 , 6 ]. Symptomatic patients traditionally undergo surgical treatment of the cyst, with few cases of endoscopic marsupialization reported in the literature [ 2 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 ].…”

Section: Introductionmentioning

confidence: 99%

Endoscopic Management of Symptomatic Duodenal Duplication Cysts: Two Case Reports

Campos¹,

Rio-Tinto²,

Bispo³

et al. 2021

GE Port J Gastroenterol

View full text Add to dashboard Cite

Background: Duodenal duplication cysts (DDCs) are rare congenital anomalies typically manifesting during childhood. Clinical manifestations are uncommon in adulthood. DDCs were classically treated surgically, but endoscopic treatment has been increasingly reported. Endoscopic cyst marsupialization establishes a communication between the cyst cavity and the duodenal lumen so that the cystic content can be drained continuously into the duodenum. We herein describe two cases of symptomatic DDCs diagnosed in adulthood and submitted to endoscopic marsupialization using different techniques and devices. Case Summary: Case 1: A 23-year-old female patient was admitted with the diagnosis of acute pancreatitis. Endoscopic ultrasound revealed a 35-mm duodenal subepithelial lesion whose proximal limit was immediately distal to the ampulla of Vater and filled with fluid and calcifications. Using a duodenoscope, deroofing of the lesion was made with a diathermic snare. Pathology confirmed the diagnosis of DDC. Case 2: A 41-year-old female, submitted to laparoscopic cholecystectomy 1 month earlier due to suspected lithiasic acute pancreatitis, was admitted due to suspicion of iatrogenic biliary fistula. An endoscopic retrograde cholangiopancreatography was performed and the bile leak was treated. Immediately distal to the papillary orifice, a 20-mm subepithelial lesion was also detected. A biopsy forceps was used to fenestrate its wall, allowing the exit of mucous fluid and stones, and a sphincterotome was used to expand the incision. No recurrence was documented in both cases. Conclusion: These cases highlight DDC as a potential cause for acute pancreatitis in adults and endoscopy as an easy treatment option.

show abstract

Endoscopic treatment of a duodenal duplication cyst

Cited by 7 publications

References 4 publications

Report of a rare case and review of adult intestinal duplication at the opposite side of mesenteric margin

Report of a rare case and review of adult intestinal duplication at the opposite side of mesenteric margin

Safety and Efficacy of Endoscopic Therapy for Nonmalignant Duodenal Duplication Cysts

Endoscopic Management of Symptomatic Duodenal Duplication Cysts: Two Case Reports

Contact Info

Product

Resources

About