Duodenal duplication cyst: beware of the lesser sac collection.
A 11-month-old boy presented with a 4-month history of failure to thrive. His initial presentation was highlighted by fever, postprandial abdominal pain and lethargy. The diagnosis was elusive despite extensive investigations. A contrast enhanced abdominal computerised tomogram (CT) suggested the presence of a pancreatic pseudocyst. At laparotomy, a lesser sac collection was drained and the patient's general condition improved. Three weeks postoperatively, the symptoms recurred and a second contrast enhanced abdominal CT revealed a duodenal duplication cyst. A 6.5-cm duodenal duplication cyst communicating with the fourth part of the duodenum was resected in its entirety with resolution of the patients' symptoms and establishment of adequate growth.
Department of Paediatric Surgery, Birmingham Children's Hospital, Steelhouse Lane, B4 6NH Birmingham, UK. ray.buick@bch.nhs.uk
J A
JA
Cauchi
R G
RG
Buick
D001202:Ascitic Fluid; D003560:Cysts / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D004322:Drainage; D004378:Duodenal Diseases / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D007223:Infant; D008297:Male; D010192:Pancreatic Pseudocyst / Q000175:diagnosis; D010529:Peritoneal Cavity / Q000601:surgery; D014057:Tomography, X-Ray Computed