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Related Experiment Videos

Pancreatitis caused by duodenal duplication.

G Mattioli1, P Buffa, F Pesce

  • 1Department of Pediatric Surgery, School of Pediatric Surgery, University of Genoa, Italy.

Journal of Pediatric Surgery
|May 11, 1999
PubMed
Summary

Duodenal cystic duplications can cause recurrent acute pancreatitis in children. Surgical treatment, including marsupialization or sphincteroplasty, led to asymptomatic outcomes in both cases.

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Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Medical Imaging

Background:

  • Duodenal cystic duplications are rare congenital anomalies.
  • Recurrent acute pancreatitis in children can be a challenging diagnosis.
  • Symptoms often include abdominal pain and gastroesophageal reflux.

Observation:

  • Two pediatric cases of duodenal cystic duplication presented with abdominal pain, reflux, and recurrent acute pancreatitis.
  • Preoperative diagnosis was confirmed using computed tomography scan, ultrasound, and cholangiography.
  • Surgical interventions included simple marsupialization and sphincterotomy with papillosphincteroplasty.

Findings:

  • Microscopic examination confirmed the diagnosis of duodenal cystic duplication.
  • Both patients remained asymptomatic during 14 and 18 months of follow-up.

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  • Surgical management was effective in resolving symptoms.

    • Implications:

    • Highlights the importance of cholangiopancreatography in diagnosing pediatric recurrent acute pancreatitis.
    • Emphasizes the role of precise anatomical identification for successful surgical intervention.
    • Demonstrates effective surgical approaches for duodenal cystic duplications.