Alomar Khaled, Mansour Hasan, Qatleesh Safaa, Eid Nader, Alkader Mohammed Abd, Al Dalati Husam
Damascus University, University Pediatrics' Hospital, Syrian Arab Republic.
Damascus University, University Pediatrics' Hospital, Syrian Arab Republic.
Int J Surg Case Rep. 2023 Jun;107:108354. doi: 10.1016/j.ijscr.2023.108354. Epub 2023 May 30.
Duodenal duplication cysts are a rare subtype of alimentary tract duplications cysts, consisting of 7 % of all the duplications. The clinical presentation is variable, depending on the size, location and mass effect. Most duodenal duplication cysts abut the second or third portion of the native duodenum. The standard treatment of choice for symptomatic enteric duplication cysts is complete surgical removal. In our case, by examining the abdomen, ectopic pancreatic tissue was found on the wall of the transverse colon, along with Meckel's diverticulum, 50 cm from the ileocecal junction.
We present a newborn case presented to the hospital with a history of abdominal mass with jaundice. Abdominal ultrasonography and CT scan show the presence of a cystic mass without specifying its exact source. By opening the abdomen, it was found at the expense of the duodenum, and it was excised and On histopathological analysis, a duodenal duplication cyst was diagnosed. The literature was reviewed and the approach to duodenal duplication cyst in neonates is discussed.
Duodenal duplication cysts are rare, even so should be taken into consideration when a mass is found. A thorough imaging investigation is crucial in establishing the diagnosis along with histopathology.
When diagnosing a Duodenal duplication cysts, the cyst must be completely removed because potential risk of malignant transformation.
十二指肠重复囊肿是消化道重复囊肿的一种罕见亚型，占所有重复囊肿的7%。临床表现各异，取决于囊肿的大小、位置及占位效应。多数十二指肠重复囊肿毗邻十二指肠的第二或第三部分。有症状的肠道重复囊肿的标准治疗方法是完整手术切除。在我们的病例中，通过腹部检查，在距回盲部50厘米的横结肠壁上发现了异位胰腺组织，同时还发现了梅克尔憩室。
我们报告一例以腹部肿块伴黄疸病史入院的新生儿病例。腹部超声和CT扫描显示存在一个囊性肿块，但未明确其确切来源。通过剖腹探查，发现该囊肿起源于十二指肠，遂将其切除，经组织病理学分析，诊断为十二指肠重复囊肿。我们回顾了相关文献并讨论了新生儿十二指肠重复囊肿的治疗方法。
十二指肠重复囊肿较为罕见，即便如此，当发现肿块时仍应考虑到该病。全面的影像学检查对于确诊以及组织病理学诊断至关重要。
诊断十二指肠重复囊肿时，必须将囊肿完全切除，因为存在恶变的潜在风险。
