Redondo-Cerezo Eduardo, Pleguezuelo-Díaz Julio, de Hierro Mercedes López, Macias-Sánchez José F, Ubiña Cristina Viñolo, Martín-Rodríguez María Del Mar, Teresa-Galván Javier De
Eduardo Redondo-Cerezo, Julio Pleguezuelo-Díaz, Mercedes López de Hierro, José F Macias-Sánchez, Cristina Viñolo Ubiña, María Del Mar Martín-Rodríguez, Javier De Teresa-Galván, Endoscopy Unit, Gastroenterology Department, Hospital Universitario Virgen de las Nieves, Avenida de las Fuerzas Armadas 2, Granada 18014, Spain.
World J Gastrointest Endosc. 2010 Sep 16;2(9):318-20. doi: 10.4253/wjge.v2.i9.318.
Duodenal duplication cysts are rare congenital abnormalities which are more commonly diagnosed in infancy and childhood. However, in rare cases, these lesions can remain asymptomatic until adulthood. The combination of duplication cyst and pancreas divisum is extremely rare and both conditions have been linked with acute recurrent pancreatitis. We present the case of a 37 years-old patient who presented with repeated episodes of acute pancreatitis. By means of magnetic resonance imaging and endoscopic ultrasonography we discovered a duplication cyst whose cavity received drainage from the dorsal pancreas. After opening the cyst cavity to the duodenal lumen with a needle knife the patient presented no further episodes in the clinical follow-up. Comparable literature findings and therapeutic options for these abnormalities are discussed with regard to the presented case.
十二指肠重复囊肿是罕见的先天性异常，在婴儿期和儿童期更常被诊断出来。然而，在罕见情况下，这些病变在成年期之前可能一直无症状。重复囊肿与胰腺分裂并存极为罕见，且这两种情况都与急性复发性胰腺炎有关。我们报告一例37岁反复出现急性胰腺炎发作的患者。通过磁共振成像和内镜超声检查，我们发现一个重复囊肿，其囊腔接受来自背侧胰腺的引流。在用针刀将囊肿腔与十二指肠腔打通后，该患者在临床随访中未再出现发作情况。结合本病例对这些异常情况的相关文献研究结果及治疗选择进行了讨论。
