We report the case of a duodenal duplication cyst in an 81-year-old man who presented with gastrointestinal bleeding. [ncbi.nlm.nih.gov]

• Soft Tissue Mass

  By right subcostal incision (video), surgical exploration revealed a soft tissue mass palpable at the second portion of the duodenum. [ncbi.nlm.nih.gov]

  […] with a thin outer wall and located adjacent to the thoracic esophagus with well-defined endosonographic borders. [1] Their intracystic contents can be anechoic, hypoechoic, or contain dense hyperechoic debris, which could be potentially confused with a soft-tissue [eusjournal.com]

• 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]

• 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]

• Epigastric Tenderness

  Physical examination revealed normal blood pressure, pulse and temperature with mild epigastric tenderness. [karger.com]

  The patient had two similar episodes of epigastric pain in the last 1 year. Abdominal examination revealed epigastric tenderness. Blood counts revealed signs of inflammation (white blood cells 14000 cells/mm 3 ). [saudisurgj.org]

• 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]

• Abdominal Pain Radiating to the Back

  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]

• 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]

• 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]

Extensive workup is needed to predict postoperative function. Patients can have debilitating problems with incontinence and wounds. [emedicine.medscape.com]

Definitive treatment needed an extensive diagnostic workup and a second delicate operation. [ncbi.nlm.nih.gov]

• Hemorrhagic Ascites

  Hemorrhagic ascites has been reported in only one case of duodenal duplication [ 4 ]. [jmedicalcasereports.biomedcentral.com]

  Conclusions It is important to be aware of duodenal duplication when evaluating a patient with recurrent acute pancreatitis accompanied by massive hemorrhagic ascites. [mospace.umsystem.edu]

  Recurrent acute pancreatitis and massive hemorrhagic ascites secondary to a duodenal duplication in a child: a case report. [ivyunion.org]

  ascites. [2] We are presenting here a case of huge duodenal duplication in a 3-month-old male child, presented to us with the complaint of bilious vomiting with a palpable lump abdomen. [mjdrdypv.org]

The traditional treatment of a duodenal duplication cyst has been complete surgical resection, but very few cases of endoscopic treatment of a duodenal duplication cyst have been previously reported recently in the literature. [e-ce.org]

Endoscopic partial resection is useful for diagnosis and treatment of duodenal duplication cyst. [ncbi.nlm.nih.gov]

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]

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]

The etiology of intestinal duplications is unknown. Theories include abnormalities in recanalization, a vascular insult, persistence of embryonic diverticula, and partial twinning. [merckmanuals.com]

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]

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]

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]