Open AccessA rare case of duodenal duplication treated surgically
Author(s) -
Mehmet Uzun,
Neşet Köksal,
Münire Kayahan,
Atilla Çelik,
Gamze Kılıçoğlu,
Selvinaz Özkara
Publication year - 2009
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.15.882
Subject(s) - medicine , surgery , gene duplication , abdominal pain , pancreatitis , perforation , duodenum , surgical excision , duodenal diseases , abdominal computed tomography , radiology , biochemistry , chemistry , materials science , metallurgy , punching , gene
Duodenal duplication, a rare congenital malformation, can also be observed in adulthood. Although it can be cystic or tubular, communicating or non-communicating, cystic and non-communicating forms are the most common. Several complications, such as obstruction, bleeding, perforation and pancreatitis, may result. Optimal treatment is total excision, although endoscopic procedures have also been described in appropriate cases. If total excision is not possible, subtotal excision and internal derivation can be performed. The 38-year-old woman presented here had occasional attacks of abdominal pain and obstruction, and we considered the diagnosis of duodenal duplication by abdominal computerized tomography. As we confirmed the diagnosis with operative findings and histopathological signs, we treated her with subtotal excision and intraduodenal cystoduodenostomy.