Presentation
We report the case of a duodenal duplication cyst in an 81-year-old man who presented with gastrointestinal bleeding. [ncbi.nlm.nih.gov]
Gastrointestinal
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Left Flank Pain
In a few cases, ectopic gastric mucosa can appear and cause ulceration, bleeding and even perforation. 2,7 Our patient was asymptomatic and the cyst was firstly discovered while performing an ultrasonography for mild left flank pain. [ncbi.nlm.nih.gov]
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Upper Abdominal Pain
This case report describes a unique variant of a duodenal duplication cyst in an 8-year-old boy who had recurrent episodes of upper abdominal pain. [ncbi.nlm.nih.gov]
The patient gave a five-year history of upper abdominal pain, nausea, and vomiting. Since the age of 10 years she had had five hospital admissions to another institution for these symptoms. [jamanetwork.com]
CASE REPORT A 57-year-old female patient presented with a 12-month history of recurrent severe upper abdominal pain radiating to the back associated with occasional episodes of vomiting. There was no history of jaundice, weight loss or diarrhoea. [pancreas.imedpub.com]
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Epigastric Tenderness
Physical examination revealed normal blood pressure, pulse and temperature with mild epigastric tenderness. [karger.com]
Abdominal examination revealed epigastric tenderness. Blood counts revealed signs of inflammation (white blood cells 14000 cells/mm 3 ). Biochemical investigations showed increased serum levels of amylase (450 U/L) and lipase (350 U/L). [saudisurgj.org]
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Periumbilical Pain
The most common symptoms are periumbilical pain, vomiting, and gastrointestinal bleeding. Ulceration followed by perforation or hemorrhage can occur, especially in cases of the ectopic gastric mucosa. [njssjournal.org]
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Projectile Vomiting
CASE REPORT A 1-week-old male infant was admitted for investigation of nonbilious projectile vomiting. On physical examination, his abdomen was soft with no palpable masses. [journals.lww.com]
Eyes
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Lacrimation
[…] ampullary choledochocele, aspiration, bile, biliary duct, Bovie, cannulation, CBD, choledochal cyst, common bile duct, CT, duodenal duplication cyst, duodenal papilla, duodenotomy, endoscopic ultrasound, EUS, ex lap, exploration, exploratory laparotomy, lacrimal [sages.org]
Workup
Definitive treatment needed an extensive diagnostic workup and a second delicate operation. [ncbi.nlm.nih.gov]
Treatment
Endoscopic partial resection is useful for diagnosis and treatment of duodenal duplication cyst. [ncbi.nlm.nih.gov]
Previous reports have described treatment of DDC by surgical resection (laparot-omy) or endoscopic marsupialization; we describe here, the first report of laparoscopic approach to resect DDC in a pediatric patient with a favorable outcome. [einstein.pure.elsevier.com]
Prognosis
Now that antenatal findings are becoming increasingly sensitive in the detection of foetal anomalies, and parents need to be informed about the suspected pathology and its prognosis, we tried to determine, in the light of this case and a review of the [ncbi.nlm.nih.gov]
The prognosis is excellent with appropriate treatment The pancreas is an important organ of the digestive system. [dovemed.com]
When a cancer is suspected, as in our case, a subtotal or total gastrectomy with reconstruction is unfortunately the only solution with a poor prognosis [ 1, 2, 14 ]. [em-consulte.com]
[…] intestine is the most frequent site of GI duplications, accounting for 44% of cases [3] Colonic duplications - These may be cystic or tubular; they represent 15% percent of duplications Rectal duplications - These represent up to 5% of GI duplications [9] Prognosis [emedicine.medscape.com]
Etiology
Enteric duplication cysts are rare congenital anomalies of unclear etiology. While they can occur anywhere in the gastrointestinal tract, they typically occur in the ileum or ileocecal region and very rarely in the duodenum. [ncbi.nlm.nih.gov]
PY - 2012/10 Y1 - 2012/10 N2 - Enteric duplication cysts are rare congenital anomalies of unclear etiology. [uncch.pure.elsevier.com]
Results A 67-year-old lady was referred to the GI clinic with a long history of iron-deficiency anemia since childhood and intermittent melena with unknown etiology. [academic.oup.com]
Gastrointestinal tract duplications: Clinical, pathologic, etiologic, and radiologic considerations. Radiographics. 1993, 13:1063-1080 Redondo-Cerezo E, Pleguezuelo-Díaz J, de Hierro ML, Macias-Sánchez JF, Ubiña CV, Martín-Rodríguez Mdel M et al. [ivyunion.org]
Whether a common etiology exists for both these anomalies is unclear. [jneonatalsurg.com]
Epidemiology
The literature on duodenal duplications, and their epidemiology, embryology and pathophysiology is reviewed. [ncbi.nlm.nih.gov]
The anomalies are organized by anatomical system and presented in a consistent manner, including details of the clinical presentation, epidemiology, embryology, treatment and prevention for each anomaly. [books.google.com]
Epidemiology: Duodenal atresia is the most common cause of intrinsic duodenal obstruction in the newborn. It occurs in 1 in 2,500-5,000 live births. In 25-40% of cases, this condition is associated in someone with trisomy 21 (Down syndrome). [eapsa.org]
Epidemiology Exact incidence is unknown. Approximately two-thirds of all intestinal duplications are discovered within the first two years of life. [surgery4children.com]
Pathophysiology
The literature on duodenal duplications, and their epidemiology, embryology and pathophysiology is reviewed. [ncbi.nlm.nih.gov]
According to previous reports [ 6, 7 ], we speculate that the pathophysiology of our case was as follows: (1) the antral mucosa in the duplication was isolated from its typically acidic environment, which led to the lack of hydrogen ion feedback inhibition [surgicalcasereports.springeropen.com]
The following are examples: Thoracoabdominal duplications - Vertebral anomalies (approximately 75%) Enteric cystic duplications - Intestinal atresias Tubular hindgut duplications - Genitourinary malformations Pathophysiology GI duplications are most frequently [emedicine.medscape.com]
Prevention
The anomalies are organized by anatomical system and presented in a consistent manner, including details of the clinical presentation, epidemiology, embryology, treatment and prevention for each anomaly. [books.google.com]
Retrospectively, after reviewing the literature on gall bladder duplications, we felt cholecystectomy should have been done to prevent future complications. [jneonatalsurg.com]
For relieving symptoms and preventing further complications, such as pancreatitis or malignant transformation, surgical resection of duodenal duplication cysts is indicated. [ncbi.nlm.nih.gov]
However, if this is planned, one must determine whether gastric mucosa is present (with technetium scan); if so, it must be excised to prevent future ulceration. [emedicine.medscape.com]