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Duodenal duplication cyst and recurrent pancreatitis in the setting of duodenal atresia

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Abstract

We report a case of recurrent pancreatitis caused by a duodenal duplication cyst with aberrant pancreatic ductal communication in a \(2{\raise0.5ex\hbox{$\scriptstyle 1$}\kern-0.1em/\kern-0.15em\lower0.25ex\hbox{$\scriptstyle 2$}}\)-year-old female who had been previously treated for duodenal atresia. The evaluation of the pancreas included a computed tomography scan, endoscopic retrograde cholangiopancreatography, intraoperative ultrasound, and intraoperative cholangiogram. In the setting of duodenal atresia, this case underscores the complex embryology of pancreatic, duodenal, and biliary development. Any infant with recurrent pancreatitis should have a complete evaluation in order to identify a potentially correctable lesion. The surgical options remain defined by the anatomy and include resection, marsupialization, or internal drainage.

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References

  1. Black PR, Welch KJ, Eraklis AJ (1986) Juxtapancreatic intestinal duplications with pancreatic ductal communication: cause of pancreatitis and recurrent abdominal pain in childhood. J Pediatr Surg 21: 257–261

    Google Scholar 

  2. Boyden EA (1932) The problem of the double ducts choledochus (an interpretation of an accessory bile duct found attached to the pars superior of the duodenum). Anat Rec 55: 71–93

    Google Scholar 

  3. Briemer JL (1944) Diverticula and duplications of the intestinal tract. Arch Pathol 38: 132

    Google Scholar 

  4. Case Records of the Massachusetts General Hospital (1964) Duplication of the stomach with fistulous connection to accessory pancreas. N Engl J Med 270: 736–742

    Google Scholar 

  5. Jones PA, Knight MJ, Rayter A, Rosswick RPR (1982) Juxtamedullary bile-filled duodenal duplication cyst: another surgically correctable cause of acute pancreatitis. J R Soc Med 75: 662–664

    Google Scholar 

  6. Jordan SC, Ament ME (1977) Pancreatitis in children and adolescents. J Pediatr 91: 211–216

    Google Scholar 

  7. Knechtle SJ, Filston HC (1990) Anomalous biliary ducts associated with duodenal atresia. J Pediatr Surg 25: 1266–1269

    Google Scholar 

  8. Lavine JE, Harrison M, Heyman MB (1989) Gastrointestinal duplications causing relapsing pancreatitis in children. Gastroenterology 97: 1556–1558

    Google Scholar 

  9. Rosenlund ML, Schnaufer L (1978) Gastric duplication presenting as cyclic abdominal pain. Clin Pediatr 17: 747–753

    Google Scholar 

  10. Synn AL, Nulvihill SJ, Fonkalsrud EW (1988) Surgical disorders of the pancreas in infancy and childhood. Am J Surg 156: 201–205

    Google Scholar 

  11. Tandler J (1900) Zur Entwicklungsgeschichte des Menschlickien: Duodenums In Fruhen Embryonalstadium. Morph Jahrb 29: 187–216

    Google Scholar 

  12. Welch KJ (1986) Pancreatic cysts and pseudocysts. In: Welch KJ, Randolph JG, Ravitch MM et al (eds) Pediatric surgery. Year Book Medical Publishers Chicago pp 1091 – 1095

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Dillon, P.W., Shah, M.J., Turner, M.A. et al. Duodenal duplication cyst and recurrent pancreatitis in the setting of duodenal atresia. Pediatr Surg Int 8, 257–259 (1993). https://doi.org/10.1007/BF00182533

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