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

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 massiv...

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Main Authors: Katsuhiro Ogawa (Author), Yutaka Kanamori (Author), Toshihiko Watanabe (Author), Kotaro Tomonaga (Author), Mai Kutsukake (Author), Michiko Goto (Author), Michinobu Ohno (Author), Kazunori Tahara (Author), Tomoro Hishiki (Author), Akihiro Fujino (Author)
Format: Book
Published: Elsevier, 2018-07-01T00:00:00Z.
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Summary: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.
Item Description:2213-5766
10.1016/j.epsc.2018.04.019