Duodenal Duplication Cyst in A 42-Year-Old Woman: A Challenging Diagnosis And Management
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 11
Abstract
Introduction: Duodenal duplication is a rare congenital malformation. Although more frequent in childhood, it may be rarely observed in adulthood. Several complications, such as obstruction, bleeding, perforation and pancreatitis may result. Pre-operative diagnosis can be difficult. Optimal treatment is total excision, although endoscopic procedures have also been described in appropriate cases. If total excision is not possible, subtotal excision and internal derivation can be performed. Presentation Of Case: We report the case of a 42-year-old woman with a duodenal duplication cyst, who was misdiagnosed on several occasions in the past. The woman presented here with recurrent attacks of abdominal pain radiating to the right chest and vomiting. She also reports of a lump in the upper abdomen which comes and goes during the course of each attack. Definitive treatment needed a meticulous diagnostic workup and a delicate operation. Discussion: This paper discusses the incidence of duodenal duplications, their types, their clinical presentations, the radiologic and diagnostic features along with different therapeutic options. Conclusion: Duodenal duplication should always be one of the differential diagnoses proposed when approaching upper abdominal cystic formations.
Authors and Affiliations
Pritam Das, Lingaraju H. S, Tomeru Rina, Saugat Das
Keywords
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- EP ID EP249901
- DOI 10.9790/0853-1612031518
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