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]
Case Reports Abstract Author Information Authors Duodenal duplication cysts are distinctly uncommon and most often present in infancy or early childhood. The clinical presentation is generally duodenal obstruction, hemorrhage, or pancreatitis. [journals.lww.com]
We present a brief literature review on duodenal duplication cysts and discuss its differential diagnosis. [jhu.pure.elsevier.com]
Entire Body System
- Pain
Overall, 80% of cases presented with abdominal pain, and 53% were complicated with pancreatitis. The most common symptom in duodenal duplication cysts is abdominal pain with or without nausea or vomiting. [ncbi.nlm.nih.gov]
Even in adults, it is necessary to evoke the diagnosis of duodenal duplication in patients with unexplained abdominal pain. [panafrican-med-journal.com]
An 18-year-old woman presented with epigastric pain and a subjective abdominal bulge. A computed tomography scan was subsequently performed and showed a solid and cystic mass with wall calcifications in the lesser sac of the upper abdomen. [jhu.pure.elsevier.com]
- Asymptomatic
Among 24 initially symptomatic patients, all remained asymptomatic post-therapy without relapses (mean follow-up = 36.5 ± 48.6 months, 3 others reported asymptomatic at follow-up of unknown duration; 1 initially asymptomatic patient remained asymptomatic [ncbi.nlm.nih.gov]
Four years after surgery, the patient remains asymptomatic. [jhu.pure.elsevier.com]
- Surgical Procedure
Modern imaging procedures demonstrate the relation of the duplication to the duodenum and the adjacent organs. Thus the surgical procedure can be selected preoperatively. [ncbi.nlm.nih.gov]
This video presents the surgical procedure performed for a 41-year-old women diagnosed with a duodenal cyst that was obstructing the lumen. The cyst was temporarily decompressed by endoscopic ultrasound guided aspiration. [sages.org]
This major surgical procedure entails the disadvantages of high morbidity and mortality with poor quality of life. In our opinion, this procedure should remain an ultimate option. [hal.archives-ouvertes.fr]
- Anorexia
There was no history of vomiting, anorexia or change in bowel habits. Physical examination was normal and laboratory values were normal. [panafrican-med-journal.com]
Duodenal duplication cysts occur primarily along the anterior wall.9 The clinical features of duodenal duplication cysts range from non-specific symptoms such as vomiting, anorexia, abdominal pain, and abdominal distention, to small bowel obstruction [e-ce.org]
Multiple case reports have reported an array of symptoms, including abdominal pain, nausea, anorexia, cachexia along with a clinical picture of recurrent acute pancreatitis or gastric outlet obstruction, or gastrointestinal bleeding, hemorrhagic ascites [cureus.com]
Anorexia and pancreatitis associated with a gastric duplication cyst of the pancreas. Surgery 2001; 129:375-6. [PMID 11231468] Del Rosario JF, Silverman WB, Ford H, Adkins J, Wiener E. [pancreas.imedpub.com]
Case Presentation A 8, 5-year-old boy presented with a history of abdominal pain, nausea, vomiting, heartburn, dysphagia and anorexia. [juniperpublishers.com]
- Swelling
Upper gastrointestinal (GI) endoscopy showed globular swelling at the medial wall of D2 (Fig. 1). The ampulla was situated at the summit of swelling. [jmedicalcasereports.biomedcentral.com]
Conclusion Duodenal duplication cyst should be kept in mind in case of isolated cystic swelling in the upper abdomen CECT abdomen is an important investigation for isolated duodenal duplication cyst. Financial support and sponsorship Nil. [njssjournal.org]
Baker cyst a swelling on the back of the knee, due to escape of synovial fluid that has become enclosed in a sac of membrane. [medical-dictionary.thefreedictionary.com]
Seek medical attention right away if any of these severe side effects occur: Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue; unusual hoarseness); chest pain; [24tabletten.de]
Bust milk flowing from the nipple area; dry buy clindamycin mouth; swelling of the bust in the man; headache; hives; warm flashes; itching of skin; itching, redness, pain, or swelling of eye; menstruation irregularities; pain in the breast. [akselsoft.libsyn.com]
Gastrointestinal
- Abdominal Pain
Overall, 80% of cases presented with abdominal pain, and 53% were complicated with pancreatitis. The most common symptom in duodenal duplication cysts is abdominal pain with or without nausea or vomiting. [ncbi.nlm.nih.gov]
Even in adults, it is necessary to evoke the diagnosis of duodenal duplication in patients with unexplained abdominal pain. [panafrican-med-journal.com]
- Vomiting
This case report presents a 1year and 6 months old child that presented because of vomiting, abdominal… CONTINUE READING [semanticscholar.org]
Case Report Parents of a 3-month-old male child presented to us with complaints of bilious vomiting with palpable lump abdomen for the past 5 days. [mjdrdypv.org]
Abdominal pain and vomiting represented important clinical signs associated with a previous history of inexplicable episodes of acute pancreatitis. Abdominal US scan and NMR were able to diagnose the duodenal duplication preoperatively. [ncbi.nlm.nih.gov]
"Elia struggled most of her life with repeated unexplained vomiting episodes that started when she was 3 years old. When she was five she was diagnosed with Cyclical Vomiting Syndrome. [discoveryarts.org]
- Nausea
The most common symptom in duodenal duplication cysts is abdominal pain with or without nausea or vomiting. The most common complication is pancreatitis. [ncbi.nlm.nih.gov]
The clinical symptoms (nausea and vomiting) were evoking an upper G.I. subobstruction. The surgical treatment of these malformations is reviewed. [moh-it.pure.elsevier.com]
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]
The symptoms of DDC depend on size and location; among adults, they frequently are of an obstructive nature and involve nausea, vomiting, pain, cholestasis, and pancreatitis. [scielo.br]
- Abdominal Mass
The duodenum is the least common location for such an abnormality, which usually manifests as a spherical cyst-like structure that can present as mechanical bowel obstruction, biliary obstruction or an abdominal mass, among other presentations. [ncbi.nlm.nih.gov]
Clinically, they can be asymptomatic or present with abdominal pain, vomiting, weight loss, pancreatitis, jaundice or palpable abdominal mass [3]. Ultrasound allows the identification of a unilocular cystic mass. [eurorad.org]
Characterize abdominal masses and adenopathy with the aid of diffusion-weighted MR imaging. [books.google.com]
[…] pain – Abdominal mass – Urinary retention – Volvulus – Perforation Diagnosis – CT scan – Barium enema – Ultrasound – Laparotomy Treatment Cystic : Surgical resection of cyst and adjacent normal bowel with anastomosis Appendix Duplications: Appendectomies [surgery4children.com]
- Abdominal Distension
There was no history of jaundice, abdominal distension, or gastrointestinal bleeding. Her abdominal examination was unremarkable. Except for anemia (hemoglobin 9.8 g/dL), her other laboratory parameters were normal. [journals.lww.com]
She was moderately nourished, weighing 12 kg (expected weight was 16 kg), and there was slight upper abdominal distension with a palpable lump. [jiaps.com]
In adults, the major symptom is abdominal pain. Other signs are vomiting, jaundice, abdominal distension and gastrointestinal bleeding can occur due to the presence of ectopic gastric mucosa [2]. [panafrican-med-journal.com]
Clinical findings in patients with a duplication include recurrent abdominal pain, vomiting, abdominal distension, intestinal obstruction, palpable abdominal mass, failure to thrive, constipation, and occasionally bleeding from ectopic gastric mucosa. [afrjpaedsurg.org]
DISCUSSION Patients with duodenal duplication cysts present with recurrent nausea, vomiting, abdominal mass, abdominal distension, pancreatitis, and gastrointestinal bleeding[ 4, 5 ]. [wjgnet.com]
Psychiatrical
- Suggestibility
Follow-up US examinations showed a partial "double-wall" sign, highly suggestive of enteric duplication, and changes in cyst size and wall thickness. Postnatal US examination suggested enteric duplication cyst. [ncbi.nlm.nih.gov]
Follow‐up US examinations showed a partial “double‐wall” sign, highly suggestive of enteric duplication, and changes in cyst size and wall thickness. Postnatal US examination suggested enteric duplication cyst. [ingentaconnect.com]
Neurologic
- Seizure
If you suspect an overdose and screen symptoms, such as queasiness and vomiting, alli reduction of sychronisation, tingling, lightheadedness or tingling, seizures, look for prompt medical help. [akselsoft.libsyn.com]
Workup
Definitive treatment needed an extensive diagnostic workup and a second delicate operation. [ncbi.nlm.nih.gov]
Treatment
Publication status Published - May 1993 cystic duplication duodenum endoscopy treatment Radiology Nuclear Medicine and imaging Medicine(all) Fingerprint Dive into the research topics of 'Duodenum cystic duplication: an original endoscopic treatment'. [moh-it.pure.elsevier.com]
This report describes both endoscopic diagnosis and treatment of a large periampullary duodenal duplication cyst associated with biliary obstruction in an adult patient. [journals.lww.com]
Endoscopic partial resection is useful for diagnosis and treatment of duodenal duplication cyst. [ncbi.nlm.nih.gov]
Endoscopic treatment of a duodenal duplication cyst. Endoscopy. 2005; 37 :601. [ PubMed ] [ DOI ] [wjgnet.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]
Prognosis is excellent if total excision is achieved and there are no histological elements of malignancy. [karger.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
PY - 2012/10 Y1 - 2012/10 N2 - Enteric duplication cysts are rare congenital anomalies of unclear etiology. [uncch.pure.elsevier.com]
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]
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]
Elective excision is the treatment of election preventing the development of complications. [scielo.conicyt.cl]
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]