Redondo-Cerezo E, Pleguezuelo-Díaz J, Hierro ML, Macias-Sánchez JF, Ubiña CV, Martín-Rodríguez MDM, Teresa-Galván JD. Duodenal duplication cyst and pancreas divisum causing acute pancreatitis in an adult male. World J Gastrointest Endosc 2010; 2(9): 318-320 [PMID: 21160764 DOI: 10.4253/wjge.v2.i9.318]
Corresponding Author of This Article
Eduardo Redondo-Cerezo, MD, PhD, Digestive Endoscopy Unit, Department of Gastroenterology, Hospital Universitario Virgen de las Nieves, Avenue of the Armed Forces 2, Granada 18006, Spain. eredondoc@yahoo.es
Article-Type of This Article
Case Report
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World J Gastrointest Endosc. Sep 16, 2010; 2(9): 318-320 Published online Sep 16, 2010. doi: 10.4253/wjge.v2.i9.318
Duodenal duplication cyst and pancreas divisum causing acute pancreatitis in an adult male
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
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
Author contributions: Redondo-Cerezo E and Pleguezuelo-Díaz J were the endoscopists in this case, and prepared the definitive version of this manuscript; and López de Hierro M, Macías-Sánchez JF, Viñolo Ubiña C, Martín-Rodriguez MM, and De Teresa-Galván J contributed equally to this work, responsible for designing, drafting and revising.
Correspondence to: Eduardo Redondo-Cerezo, MD, PhD, Digestive Endoscopy Unit, Department of Gastroenterology, Hospital Universitario Virgen de las Nieves, Avenue of the Armed Forces 2, Granada 18006, Spain. eredondoc@yahoo.es
Telephone: +34-95-8020146 Fax: +34-95-8020000
Received: March 5, 2010 Revised: July 2, 2010 Accepted: July 9, 2010 Published online: September 16, 2010
Abstract
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.
