Pediatric Surgery International

, Volume 11, Issue 5–6, pp 392–393 | Cite as

Duodenal duplication with bile duct obstruction and keratinaceous casts

  • M. A. Skinner
  • J. L. Grosfeld
Case Report


We report an unusual case of duodenal duplication presenting in a newborn with duodenal and bile duct obstruction. The duplication and biliary tract were filled with keratinaceous casts. To our knowledge, such an association has not been previously reported; this case demonstrates the importance of confirming bile duct patency during operations to remove duodenal duplications.

Key words

Duodenum Duplication Biliary obstruction Neonatal Keratin 


  1. 1.
    Archer D, Somers S (1992) Duodenal duplication cyst: case report and review of the current literature. Can Assoc Radiol J 43: 49–51PubMedGoogle Scholar
  2. 2.
    Blake NS (1984) Beak sign in duodenal duplication cyst. Pediatr Radiol 14: 232–233PubMedCrossRefGoogle Scholar
  3. 3.
    Grosfeld JG, O'Neill JA Jr, Clatworthy HW Jr (1970) Enteric duplications in infancy and childhood: an 18-year review. Ann Surg 172: 83–90PubMedGoogle Scholar
  4. 4.
    Holcomb GW III, Gheissari A, O'Neill JA Jr, Shorter NA, Bishop HC (1989) Surgical management of intestinal duplications. Ann Surg 209: 167–174PubMedCrossRefGoogle Scholar
  5. 5.
    Leenders EL, Osman MZ, Sukarochana K (1970) Treatment of duodenal duplication with international review. Am Surg 36: 368–371PubMedGoogle Scholar
  6. 6.
    Murty TVM, Bhargava RK, Rakas FS (1992) Gastroduodenal duplication. J Pediatr Surg 27: 515–517PubMedCrossRefGoogle Scholar
  7. 7.
    Van Eyken P, Sciot R, Callea F et al (1988) The development of the intrahepatic bile ducts in man: a keratin-immunohistochemical study. Hepatology 8: 1586–1595PubMedCrossRefGoogle Scholar
  8. 8.
    Wrenn EL (1993) Alimentary tract duplications. In: Ashkraft KW, Holder TM (eds) Pediatric surgery (2nd edn). Saunders, Philadelphia, pp 421–434Google Scholar

Copyright information

© Springer-Verlag 1996

Authors and Affiliations

  • M. A. Skinner
    • 1
  • J. L. Grosfeld
    • 2
  1. 1.Division Pediatric SurgeryWashington University School of Medicine and the St. Louis Children's HospitalSt. LouisUSA
  2. 2.Section of Pediatric SurgeryIndiana University School of Medicine and the James Whitcomb Riley Hospital for ChildrenIndianapolisUSA

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