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Duodenal duplication cyst causing severe pancreatitis: imaging findings and pathological correlation
Alessandro Guarise1, Niccolo' Faccioli, Mauro Ferrari
1Department of Radiology, University of Verona, Policlinico G.B. Rossi, Piazzale L.A. Scuro 37134 Verona, Italy.
World Journal of Gastroenterology
|March 30, 2006
Summary
A rare duodenal duplication cyst caused acute pancreatitis in an 18-year-old male. Advanced MRI imaging was crucial for diagnosis, differentiating it from other conditions.
Area of Science:
- Gastroenterology
- Radiology
- Surgical Pathology
Background:
- Recurrent abdominal pain and acute pancreatitis can stem from rare congenital anomalies.
- Duodenal duplication cysts are uncommon causes of gastrointestinal pathology.
Observation:
- An 18-year-old male presented with recurrent abdominal pain and a history of severe acute pancreatitis.
- Multiple imaging modalities including ultrasonography, CT, ERCP, EUS, and MRI were employed.
- A cystic mass lesion in the duodenum was identified.
Findings:
- Delayed phase MRI with Gadolinium-BOPTA injection precisely delineated the cyst's relationship with the biliary tree.
- This imaging characteristic allowed differentiation from an intraluminal duodenal diverticulum.
- The diagnosis of duodenal duplication cyst was confirmed histologically.
Implications:
- Highlights the diagnostic utility of advanced MRI in identifying rare causes of pancreatitis.
- Emphasizes the importance of considering congenital anomalies in recurrent abdominal pain and pancreatitis.
- Accurate diagnosis of duodenal duplication cysts is essential for appropriate management and prevention of complications.
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