[Cystic dystrophy of the duodenal wall. An underdiagnosed complication in aberrant pancreas].
Cystic dystrophy of the duodenal wall is an uncommon complication of aberrant pancreas characterized by increased duodenal wall thickness associated with intraparietal cystic lesions. We present the case of a male patient with cystic dystrophy of the duodenal wall, which posed major diagnostic problems due to the difficulty of distinguishing this entity from tumors of the head of the pancreas. Echoendoscopy was useful in establishing the definitive diagnosis, allowing puncture-evacuation of the intracystic contents with resolution of obstructive symptoms.
Repiso
Alejandro
A
Servicio de Aparato Digestivo, Hospital Virgen de la Salud, Toledo, Spain. arepiso@sescam.jccm.es
Gómez-Rodríguez
Rafael
R
García-Vela
Almudena
A
Martínez-Chacón
Josefina
J
González de Frutos
Concha
C
Pérez-Grueso
María José
MJ
Carrobles
José María
JM
D000328:Adult; D002828:Choristoma / Q000175:diagnosis*; D003560:Cysts / Q000175:diagnosis*; D003937:Diagnosis, Differential; D004378:Duodenal Diseases / Q000175:diagnosis*; D004384:Duodenoscopy; D019160:Endosonography; D006801:Humans; D008297:Male; D010179:Pancreas; D010190:Pancreatic Neoplasms / Q000175:diagnosis