Relapsing acute pancreatitis due to duodenal duplication in an 8-year-old child. Case report.
The authors present the diagnostic and therapeutic evolution of a case of duodenal duplication complicated by acute recurring pancreatitis in a eight-year-old boy. 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. Initial treatment was conservative in the attempt to resolve the acute pancreatitis episode. Partial exeresis and derivation of the duplication in the duodenal lumen was subsequently performed. Diagnosis was confirmed by histological examination. Currently, at 6 months after intervention, the patient is clinically asymptomatic and negative at US scan follow-up.
Messina
M
M
Cattedra di Chirurgia Pediatrica, Università degli Studi, Siena, Italy.
Zingaro
P
P
Tiribocchi
A
A
Meucci
D
D
Ferrucci
E
E
D000208:Acute Disease; D002648:Child; D004386:Duodenum / Q000002:abnormalities*; D006801:Humans; D008297:Male; D010195:Pancreatitis / Q000209:etiology*; D012008:Recurrence