Duodenal duplication presenting as relapsing pancreatitis in an adult.
The first case of relapsing acute pancreatitis due to a tubular duodenal duplication is reported. The duplication is believed to have filled with secretions and intermittently impinged on and obstructed the pancreatic ductular system producing a clinical picture of relapsing acute pancreatitis. The increased pressure within the duplication also produced pressure necrosis of the mucosa lining the duplication with resultant hemorrhage and iron-deficiency anaemia. The diagnosis was made preoperatively with the aid of ERCP.
D000208:Acute Disease; D000328:Adult; D000747:Anemia, Hypochromic / Q000209:etiology; D002760:Cholangiopancreatography, Endoscopic Retrograde; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D006801:Humans; D008297:Male; D010179:Pancreas / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000473:pathology; D010195:Pancreatitis / Q000209:etiology*; D012008:Recurrence