Duodenal Duplication Cyst: A Rare Differential Diagnosis in a Neonate with Bilious Vomiting

Jose Fuenzalida,Andro Gliha,Stjepan Višnjić,Božidar Župančić

doi:10.1055/s-0035-1558827

Jose Fuenzalida, Andro Gliha + Show 2 more

Open Access

https://doi.org/10.1055/s-0035-1558827

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Abstract

Bilious vomiting is a relevant sign in neonates that requires immediate evaluation and diagnosis. A duplication of the intestinal tract is a possible cause of obstruction if located distally to the major duodenal papilla of Vater and most of them involve the jejunum, stomach, or colon. Duodenal duplications are very rare and can have an endoscopic or surgical treatment after diagnosis. We present a case of a 16-day-old term newborn that consulted because of bilious vomiting and after evaluation with imaging and upper endoscopy, a duodenal duplication cyst was found at the level of the third portion causing compression of the intestinal lumen that required surgical resolution with duodenocystostomy.

Highlights

Bilious vomiting in a newborn child is an immediate cause of concern as the etiology can be related to a pathology that will require some type of invasive intervention
We present a case of a 16-day-old term newborn that consulted because of bilious vomiting and after evaluation with imaging and upper endoscopy, a duodenal duplication cyst was found at the level of the third portion causing compression of the intestinal lumen that required surgical resolution with duodenocystostomy
Duodenal obstruction is a rare cause of bilious vomiting and has a prevalence of only 1:100,000 live births, being one of the rare locations for gastrointestinal tract duplications and comprising only 2 to 12% of them, which are most commonly observed in jejunum and stomach, followed by the colon and any other locations of the digestive tract.[1]

Summary

Introduction

Bilious vomiting in a newborn child is an immediate cause of concern as the etiology can be related to a pathology that will require some type of invasive intervention. Duodenal duplications are very rare and can have an endoscopic or surgical treatment after diagnosis.

Results

Conclusion