Abstract
Prompt preoperative diagnosis of duodenal duplication cyst is uncommon owing to its extreme rarity. The ideal treatment of intestinal duplication cyst is complete surgical excision, though in few cases, due to the proximity to the bilio-pancreatic duct, the complete excision is not possible. We herein present an infant presenting with bilious vomiting starting few days after birth. Ultrasonography and CT scan provided the diagnosis of the duplication cyst in relation to duodenum. A successful surgical management by a subtotal excision was done. Although duodenal duplication is seldom seen, it should be considered in differential diagnoses of upper gastrointestinal tract (GIT) occlusion.
Highlights
Duodenal duplication cysts are rare congenital malformations of the intestinal tract (1 per 100,000 births) and represent only 2-12% of all gastrointestinal tract (GIT) duplications [1,2]
We report a case of duodenal duplication cyst having communication in proximity to ampulla of Vater precluding its complete excision
After releasing multiple inta-abdominal adhesions especially with gallbladder, we found a tubular duodenal duplication in close approximation to the second and third portions of the duodenum, measuring 10 cm in length (Figure2)
Summary
Duodenal Duplication Cyst in Close Proximity of Ampulla of Vater: A Surgical Challenge. How to cite: Nahla K, Farhani R, Lamiri R, Nouri A. Duodenal duplication cyst in close proximity of Ampulla of Vater: A surgical challenge.
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