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Duodenal duplication cyst: a rare cause of geriatric gastrointestinal bleeding

Hao-Cheng Chang1, Shih-Chiang Huang, Ren-Chin Wu

  • 1Division of General Surgery, Department of Surgery, Chang Gung Memorial Hospital, Chang Gung University Medical School, Taoyuan, Taiwan.

Journal of the Chinese Medical Association : JCMA
|May 10, 2011
PubMed

Insights

This case report details a rare duodenal duplication cyst in an elderly adult presenting with gastrointestinal bleeding. Early diagnosis of this congenital anomaly can be challenging, even with advanced imaging.

Area of Science:

  • Gastroenterology
  • Congenital Anomalies
  • Surgical Case Reports

Background:

  • Duodenal duplication cysts are rare congenital anomalies, typically diagnosed in childhood.
  • Adult presentations are uncommon and often associated with pancreatitis.
  • Gastrointestinal bleeding is an unusual manifestation in adults.

Observation:

  • An 81-year-old male presented with significant gastrointestinal bleeding.
  • Initial investigations including endoscopy and endoscopic ultrasonography did not reveal the cause.
  • The diagnosis was confirmed only during exploratory laparotomy.

Findings:

  • A duodenal duplication cyst was identified as the source of bleeding.
  • This represents a rare presentation of a duodenal duplication cyst in an elderly patient.
  • The patient experienced an uncomplicated recovery following surgical resection.

Implications:

  • Highlights the importance of considering rare congenital anomalies in elderly patients with atypical gastrointestinal symptoms.
  • A high index of suspicion is crucial for diagnosing duodenal duplication cysts in this demographic.
  • Emphasizes the diagnostic challenges and the potential need for surgical exploration.

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