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An unusual cause of recurrent pancreatitis: duodenal duplication cyst
R J Lad1, P Fitzgerald, K Jacobson
1BC Children's Hospital, Vancouver, Canada.
Insights
Duodenal duplication cysts, rare congenital anomalies, can cause recurrent pancreatitis in children. This case highlights a 12-year-old girl with this condition, emphasizing the need for awareness.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Congenital Anomalies
Background:
- Intestinal duplications are rare congenital malformations.
- Duodenal duplications are a particularly uncommon subtype.
- These anomalies typically manifest in childhood.
Observation:
- A 12-year-old girl presented with recurrent pancreatitis.
- The pancreatitis was attributed to an underlying duodenal duplication cyst.
- This presentation is less common than obstructive symptoms or bleeding.
Findings:
- The case illustrates a duodenal duplication cyst as a cause of recurrent pancreatitis.
- Literature review covers epidemiology, embryology, and pathophysiology of duodenal duplications.
- Highlights a rare but significant clinical presentation of duodenal anomalies.
Implications:
- Increased awareness of duodenal duplication cysts in pediatric pancreatitis is warranted.
- Early diagnosis and management can prevent complications.
- Further research into the pathophysiology may reveal new treatment strategies.
Abstract:
Intestinal duplications are rare anomalies that usually present in childhood. Of these, duodenal duplications are among the most uncommon. Although these usually present with obstructive symptoms or bleeding, pancreatitis may occur. A case of duodenal duplication cyst causing recurrent pancreatitis in a 12-year-old girl is presented. The literature on duodenal duplications, and their epidemiology, embryology and pathophysiology is reviewed.