Successful Resection of an Infected Duodenal Duplication Cyst After Percutaneous Cyst Drainage: Report of a Case

Abstract

We report a case of a duodenal duplication cyst complicated by infection. An 8-year-old boy was brought to our hospital with severe abdominal pain and a fever of 39.8 degrees C. He had a 5-year history of occasional abdominal pain with vomiting. On examination, a cystic mass was felt under the liver. We performed percutaneous drainage of the cyst under a suspected diagnosis of a choledochal cyst complicated by acute biliary infection. A contrast study through the drainage tube and surgical exploration revealed a duodenal duplication cyst communicating with the second part of the duodenum. The patient had an uneventful recovery and remains well 5 years after surgery. To the best of our knowledge, this is the first documented case of an infected duodenal duplication cyst successfully treated by resection after percutaneous drainage.

Obstructing ileal duplication cyst infected with Salmonella in a 2-year-old boy: a case report and review of the literature

“…One report exists of an infected duodenal duplication cyst, which was treated by percutaneous drainage and subsequent resection. The infective organism was Escherichia coli [12]. Esophageal duplications can also be infected, for example, with Candida albicans, as described in one case report [13].…”

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

“…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. The cyst may be spherical or tubular and infrequently communicates with the pancreato-biliary ductal system.…”

Duodenal duplication cyst: a rare cause of gastro-intestinal obstruction

“…But, for communicating and intraluminal types, endoscopic internal derivation was found to be effective and avoid the morbidity associated with surgery [4]. However, the natural history of DD cysts remain uncertain and some case of malignancy have been reported so, endoscopy and biopsy is recommended after treatment and in the presence of ectopic gastric mucosa, surgery is recommended because of the risk of subsequent hemorrhage [11,13].…”