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.
Cauchi
J A
JA
Department of Paediatric Surgery, Birmingham Children's Hospital, Steelhouse Lane, B4 6NH Birmingham, UK. ray.buick@bch.nhs.uk
Buick
R G
RG
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