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A case of duodenal duplication cyst manifested by duodenal polyp
Hyun Seok You1, Su Bin Park, Jin Hee Kim
1Department of Internal Medicine, Pusan National University School of Medicine, Busan, Korea.
Insights
Duodenal duplication cysts are rare congenital anomalies. This case highlights a duodenal duplication cyst presenting as a duodenal polyp, a presentation not commonly seen in pediatric patients.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Congenital Anomalies
Background:
- Duodenal duplication cysts are rare congenital anomalies, accounting for 4-12% of all gastrointestinal duplications.
- Typically diagnosed in infancy or early childhood, they often present with symptoms like vomiting, abdominal pain, and gastrointestinal bleeding.
Purpose of the Study:
- To report a rare case of duodenal duplication cyst presenting as a duodenal polyp.
- To discuss the diagnostic and potential therapeutic implications of this unusual presentation.
Main Methods:
- Case report detailing the clinical presentation, diagnostic workup, and management of a duodenal duplication cyst.
- Review of relevant literature on duodenal duplication cysts and their endoscopic management.
Main Results:
- The duodenal duplication cyst manifested as a duodenal polyp, a rare clinical presentation.
- Surgical resection is the traditional treatment, with limited reports on endoscopic approaches.
Conclusions:
- Duodenal duplication cysts can present atypically, such as with a polypoid appearance.
- Endoscopic management may be a viable option in select cases, warranting further investigation.
Abstract:
Duodenal duplication cyst is a rare anomaly, totaling only 4% to 12% of gastrointestinal duplications, and is usually encountered during infancy or in early childhood. Most are commonly located posterior to the first or second portion of the duodenum. Presenting signs and symptoms include vomiting, decreased oral intake, periumbilical tenderness, abdominal distention, obstructive jaundice, acute pancreatitis, and gastrointestinal bleeding. The traditional treatment of a duodenal duplication cyst has been complete surgical resection, but very few cases of endoscopic treatment have been reported in the literature. Here, we report a case of duodenal duplication cyst that was manifested by a duodenal polyp.
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