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Duodenal duplication cyst: beware of the lesser sac collection

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Abstract

A 11-month-old boy presented with a 4-month history of failure to thrive. His initial presentation was highlighted by fever, postprandial abdominal pain and lethargy. The diagnosis was elusive despite extensive investigations. A contrast enhanced abdominal computerised tomogram (CT) suggested the presence of a pancreatic pseudocyst. At laparotomy, a lesser sac collection was drained and the patient’s general condition improved. Three weeks postoperatively, the symptoms recurred and a second contrast enhanced abdominal CT revealed a duodenal duplication cyst. A 6.5-cm duodenal duplication cyst communicating with the fourth part of the duodenum was resected in its entirety with resolution of the patients’ symptoms and establishment of adequate growth.

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Authors and Affiliations

  1. Department of Paediatric Surgery, Birmingham Children’s Hospital, Steelhouse Lane, B4 6NH, Birmingham, UK

    J. A. Cauchi & R. G. Buick

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  1. J. A. Cauchi
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  2. R. G. Buick
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Correspondence to R. G. Buick.

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Cauchi, J.A., Buick, R.G. Duodenal duplication cyst: beware of the lesser sac collection. Ped Surgery Int 22, 456–458 (2006). https://doi.org/10.1007/s00383-005-1600-9

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  • DOI: https://doi.org/10.1007/s00383-005-1600-9

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