A rare case of duodenal duplication treated surgically.
Duodenal duplication, a rare congenital malformation, can also be observed in adulthood. Although it can be cystic or tubular, communicating or non-communicating, cystic and non-communicating forms are the most common. Several complications, such as obstruction, bleeding, perforation and pancreatitis, may result. Optimal treatment is total excision, although endoscopic procedures have also been described in appropriate cases. If total excision is not possible, subtotal excision and internal derivation can be performed. The 38-year-old woman presented here had occasional attacks of abdominal pain and obstruction, and we considered the diagnosis of duodenal duplication by abdominal computerized tomography. As we confirmed the diagnosis with operative findings and histopathological signs, we treated her with subtotal excision and intraduodenal cystoduodenostomy.
Uzun
Mehmet-Ali
MA
2nd Department of General Surgery, Haydarpasa Numune Training and Research Hospital, Istanbul 34783, Turkey. mauzun@ttmail.com
Koksal
Neset
N
Kayahan
Munire
M
Celik
Atilla
A
Kilicoglu
Gamze
G
Ozkara
Selvinaz
S
D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D003287:Contrast Media; D004386:Duodenum / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D013271:Gastric Dilatation / Q000000981:diagnostic imaging / Q000209:etiology; D006801:Humans; D007413:Intestinal Mucosa / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography
D003287:Contrast Media