Duodenal duplication cyst causing severe pancreatitis: imaging findings and pathological correlation

World J Gastroenterol. 2006 Mar 14;12(10):1630-3. doi: 10.3748/wjg.v12.i10.1630.

Abstract

We here report a case of a 18-year-old man with a history of recurrent abdominal pain and a previous episode of severe acute pancreatitis. Abdominal ultrasonography, contrast enhanced multislice computer tomography, endoscopic retrograde cholangiopancreatography, endoscopic ultrasonography and magnetic resonance imaging demonstrated a cystic mass lesion. Only on delayed phase magnetic resonance images after Gadolinium-BOPTA injection, it was possible to demonstrate the lesionos relationship with the biliary tree, differentiating the lesion from intraluminal duodenal diverticulum, and to achieve the diagnosis of duodenal duplication cyst, a recognized rare cause of acute pancreatitis. The diagnosis was confirmed by histology.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Cholangiopancreatography, Magnetic Resonance
  • Contrast Media
  • Cysts / complications*
  • Cysts / diagnosis
  • Cysts / pathology*
  • Diagnosis, Differential
  • Diverticulum / diagnosis
  • Diverticulum / pathology
  • Duodenal Diseases / complications*
  • Duodenal Diseases / diagnosis
  • Duodenal Diseases / pathology*
  • Humans
  • Male
  • Pancreatitis / diagnosis
  • Pancreatitis / etiology*
  • Pancreatitis / pathology*

Substances

  • Contrast Media