Duodenal duplication cyst causing severe pancreatitis: imaging findings and pathological correlation.
We here report a case of a 18-year-old man with a history of recurrent abdominal pain and a previous episode of severe acute pancreatitis. Abdominal ultrasonography, contrast enhanced multislice computer tomography, endoscopic retrograde cholangiopancreatography, endoscopic ultrasonography and magnetic resonance imaging demonstrated a cystic mass lesion. Only on delayed phase magnetic resonance images after Gadolinium-BOPTA injection, it was possible to demonstrate the lesionos relationship with the biliary tree, differentiating the lesion from intraluminal duodenal diverticulum, and to achieve the diagnosis of duodenal duplication cyst, a recognized rare cause of acute pancreatitis. The diagnosis was confirmed by histology.
Guarise
Alessandro
A
Department of Radiology, University of Verona, Policlinico G.B. Rossi, Piazzale L.A. Scuro 37134 Verona, Italy.
Faccioli
Niccolo'
N
Ferrari
Mauro
M
Romano
Luigi
L
Parisi
Alice
A
Falconi
Massimo
M
D000293:Adolescent; D049448:Cholangiopancreatography, Magnetic Resonance; D003287:Contrast Media; D003560:Cysts / Q000150:complications* / Q000175:diagnosis / Q000473:pathology*; D003937:Diagnosis, Differential; D004240:Diverticulum / Q000175:diagnosis / Q000473:pathology; D004378:Duodenal Diseases / Q000150:complications* / Q000175:diagnosis / Q000473:pathology*; D006801:Humans; D008297:Male; D010195:Pancreatitis / Q000175:diagnosis / Q000209:etiology* / Q000473:pathology*
D003287:Contrast Media