Acute pancreatitis caused by a duodenal duplication cyst covering the ampulla of Vater

Journal of Pediatric Surgery Case Reports

关键词: Duodenal duplication cyst;    Duodenal atresia;    Ampulla of Vater;   

DOI  :  10.1016/j.epsc.2018.04.019

来源: DOAJ

【 摘 要 】

Duodenal duplication cyst is not a common congenital anomaly and the pathophysiology may become very complicated if the cyst is situated at the ampulla of Vater. Here we report a very rare female case of duodenal duplication cyst at the ampulla of Vater, which caused acute pancreatitis due to massive protein plaques in the pancreatic duct. She had a past history of double duodenal atresia and underwent surgery as a neonate. The correct diagnosis could not be determined before the second operation at four years of age and the exact pathophysiology finally became apparent during the operation with a contrast medium study and duodenotomy. We discuss the complicated clinical features and diagnostic and treatment procedures before and during the operation.

【 授权许可】

Unknown