Intrapancreatic duodenal duplication associated with pancreatic pseudocysts

Okuyama, Hiromi; Matsuo, Yoshinobu; Fukui, Yuichi; Imura, Kenji; Kamata, Shinkichi; Okada, Akira

doi:10.1016/0022-3468(92)90512-6

Cited by 20 publications

(17 citation statements)

References 6 publications

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“…The etiology of pancreatitis in children is varied, and the recurrent form is mostly associated with congenital etiology, such as dilatation of the bile duct combined with pancreaticobiliary maljunction, pancreas divisum, intrapancreatic duplication of the intestine, and so on [1][2][3][4][5]. However, malrotation of the intestine has been reported as a very rare cause of recurrent pancreatitis [6].…”

Section: Introductionmentioning

confidence: 96%

Recurrent acute pancreatitis caused by malrotation of the intestine and effective treatment with laparoscopic Ladd’s procedure

et al. 2005

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We herein report a rare case of recurrent pancreatitis caused by malrotation of the intestine. Since the age of 10 years, a female patient showed recurrent epigastralgia and was diagnosed at age 16 years as suffering from acute pancreatitis. Upper gastrointestinal series showed that the duodenal bulb was elongated and rotated caudally. Endoscopic retrograde cholangiopancreatography showed that the descending portion of the duodenum was rotated and occluded the papilla of Vater. Under laparoscopy, the duodenal bulb was tracted caudally by the Ladd's ligament. By incision of this ligament, the entire duodenum was mobilized, with subsequent reduction of the rotation and compression of the pancreatic head. The girl's postoperative course was uneventful, and she has been asymptomatic for the last 3 years. In conclusion, malrotation of the intestine may be a rare cause of recurrent pancreatitis, and laparoscopic Ladd's procedure may be a less invasive and useful treatment.

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Section: Introductionmentioning

confidence: 96%

Recurrent acute pancreatitis caused by malrotation of the intestine and effective treatment with laparoscopic Ladd’s procedure

et al. 2005

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“…Gastroduodenal duplication cysts communicating with the pancreatic duct are rare, with 21 cases described in the English language literature from 1958 to 1998 [11]. Six cases of gastric duplication with pancreatic communication with relapsing pancreatitis have been described [9,[12][13][14]. In 1989 Lavine et al [12] reported the first case of duodenal duplication communicating with an aberrant pancreatic duct and relapsing pancreatitis.…”

Section: Discussionmentioning

confidence: 96%

Duodenal duplication cyst communicating with an aberrant pancreatic duct

Prasad

Tan

2005

Ped Surgery Int

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Duodenal duplication cyst (DDC) is an uncommon congenital anomaly and is the rarest site for intraabdominal duplications. We report a case of DDC communicating with an aberrant pancreatic duct in a 2-year-old girl, with features of possible occult relapsing pancreatitis. The duplication cyst was successfully enucleated with excision of the aberrant pancreatic duct. The literature is reviewed, and the diagnostic modalities and management options are discussed.

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“…Furthermore, a small aberrant pancreatic duct drained into the cyst. The mechanism of development of pancreatitis in the presence of cystic duodenal duplication still remains unclear [7]. However, the blockade of the aberrant pancreatic duct system by mucus and debris from the duplication may explain pancreatitis in a portion of these patients.…”

Section: Discussionmentioning

confidence: 99%

“…Intrapancreatic variants of duodenal duplication cysts communicating with the main pancreatic duct have been described [7]. The spectrum of cystic lesions also includes intramural dilatations of the dorsal pancreatic duct (Santorinicele) [2].…”

Section: Discussionmentioning

confidence: 99%