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Intraluminal Diverticular Duodenal Duplication With Recurrent Abdominal Pain: A Case Report

Jie Chen1, Guo-Zuo Xiong1, Xiong Tan1

  • 1Department of Vascular Surgery, The Second Affiliated Hospital, Hengyang Medical School, University of South China, Hengyang, China.

Frontiers in Pediatrics
|April 4, 2022
PubMed

Insights

Intraluminal diverticular duodenal duplication (IDDD) is a rare congenital anomaly causing recurrent abdominal pain in children. Surgical excision successfully treated a case in an 11-year-old boy, resolving symptoms.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Congenital Anomalies

Background:

  • Duodenal duplication is a rare congenital anomaly.
  • It can present with various gastrointestinal symptoms including abdominal pain, bleeding, and obstruction.
  • Intraluminal diverticular duodenal duplication (IDDD) is an exceptionally rare subtype.

Observation:

  • An 11-year-old boy experienced recurrent abdominal pain.
  • Diagnostic imaging, including upper endoscopy and barium swallow, identified a large hole-like structure in the duodenal bulb.
  • Operative findings and histopathology confirmed the diagnosis of IDDD.

Findings:

  • The patient underwent subtotal excision and duodenal anastomosis for the IDDD.
  • The surgical procedure was successful, with no significant postoperative complications.
  • Histopathological examination confirmed the diagnosis of duodenal duplication.

Implications:

  • This case highlights the importance of considering rare congenital anomalies in pediatric patients with recurrent abdominal pain.
  • Early diagnosis and surgical intervention can lead to favorable outcomes.
  • Successful management of IDDD can significantly improve a child's quality of life by alleviating chronic symptoms.

Keywords:
abdominal paindiagnosisintraluminal tubular duodenal duplicationpediatric surgerysubtotal excision

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