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Duodenal duplication cyst communicating with an aberrant pancreatic duct

T R Sai Prasad1, C E Tan

  • 1Department of Paediatric Surgery, KK Women's and Children's Hospital, 100 Bukit Timah Road, 229899 Singapore. trsai@rediffmail.com

Pediatric Surgery International
|February 22, 2005
PubMed

Insights

Duodenal duplication cysts are rare congenital anomalies. This case highlights a rare duodenal duplication cyst linked to an aberrant pancreatic duct, successfully treated with surgery.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Congenital Anomalies

Background:

  • Duodenal duplication cysts (DDCs) are rare congenital anomalies, representing the least common site for intraabdominal duplications.
  • These cysts can present with various complications, including pancreatitis, due to their anatomical proximity to the pancreas.

Observation:

  • A 2-year-old girl presented with symptoms suggestive of occult relapsing pancreatitis.
  • Imaging and subsequent surgical findings revealed a duodenal duplication cyst communicating with an aberrant pancreatic duct.

Findings:

  • The duodenal duplication cyst and the aberrant pancreatic duct were successfully surgically removed (enucleated and excised).
  • Histopathological examination confirmed the diagnosis and the nature of the communication.

Implications:

  • This case underscores the importance of considering DDCs in pediatric patients with recurrent pancreatitis of unknown etiology.
  • Surgical management involving cyst enucleation and duct excision offers a definitive treatment option for such complex cases.
  • Reviewing diagnostic modalities and management options is crucial for optimizing patient outcomes.

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