title: Duodenal duplication manifested by abdominal pain and bowl obstruction in an adolescent: a case report.
abstract: Duodenal duplication (DD) is a rare congenital anomaly reported mainly in infancy and childhood, but seldom in adolescent and adults. Symptoms, such as abdominal pain, nausea, vomiting or dyspepsia may present depending on the location and type of the lesion. DD can result in several complications, including pancreatitis, bowl obstruction, gastrointestinal bleeding, perforation and jaundice. Surgery is still the optimal method for treatment, although endoscopic fenestration has been described recently. Here, we report a case of a DD on the second portion of the duodenum in a 17-year-old adolescent complaining of transient epigastric pain and vomiting after meal. We suspected the diagnosis of DD by abdominal computerized tomography and endoscopic ultrasonography. We treated her by subtotal excision and internal derivation. Eventually, we confirmed our diagnosis with histopathological result.
authors.affiliation: Department of The Second General Surgery, Shengjing Hospital of China Medical University Shenyang, Liaoning Province, People's Republic of China.
authors.forename: Xiaoyu
authors.initials: X
authors.lastname: Yan
authors.affiliation: Department of The Second General Surgery, Shengjing Hospital of China Medical University Shenyang, Liaoning Province, People's Republic of China.
authors.forename: Ying
authors.initials: Y
authors.lastname: Fan
authors.affiliation: Department of The Second General Surgery, Shengjing Hospital of China Medical University Shenyang, Liaoning Province, People's Republic of China.
authors.forename: Kai
authors.initials: K
authors.lastname: Wang
authors.affiliation: Department of The Second General Surgery, Shengjing Hospital of China Medical University Shenyang, Liaoning Province, People's Republic of China.
authors.forename: Wei
authors.initials: W
authors.lastname: Zhang
authors.affiliation: Department of The Second General Surgery, Shengjing Hospital of China Medical University Shenyang, Liaoning Province, People's Republic of China.
authors.forename: Yanglin
authors.initials: Y
authors.lastname: Song
keywords: Duodenal duplication; abdominal pain; bowl obstruction; congenital anomaly; duodenum; internal derivation; subtotal excision