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Duodenal duplication cyst: a potentially malignant disease
B Seeliger1, T Piardi, E Marzano
1Pôle d'hépato-digestive, Hôpitaux Universitaires de Strasbourg, Université de Strasbourg, Faculté de Médecine, IRCAD/EITS, Institut Hospitalo-Universitaire (IHU) Mix Surg, Strasbourg, France.
Annals of Surgical Oncology
|July 27, 2012
Summary
Duodenal duplication cysts, rare congenital anomalies, can cause pancreatitis and may become malignant. Complete surgical excision, guided by 3D imaging to preserve biliary-pancreatic structures, offers the best outcome for symptomatic cases.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Medical Imaging
Background:
- Duodenal duplication cysts are rare congenital gastrointestinal anomalies.
- While often benign, they can present with symptoms like pancreatitis or, rarely, malignant transformation.
- Diagnosis can occur in infancy, childhood, or adulthood.
Observation:
- A case of an 18-year-old female with recurrent pancreatitis was investigated.
- MRI and endoscopic ultrasound revealed a cystic structure near the papilla of Vater.
- 3D reconstruction of MRI images demonstrated no communication with the common bile duct or pancreatic duct.
Findings:
- Surgical exploration confirmed a cystic mass in the duodenum.
- Histological examination revealed duodenal duplication without malignancy.
- Complete surgical excision was performed successfully, with the patient recovering well.
Implications:
- Surgical resection is indicated for symptomatic duodenal duplication cysts to prevent complications.
- 3D reconstruction aids in preoperative surgical planning, especially when anatomical structures are unclear.
- Enucleation provides complete excision with minimal adverse effects, making it a preferred treatment for non-communicating cysts.
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