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DOI: 10.1055/s-0038-1637598
ENDOSCOPIC TREATMENT OF CYSTIC DUODENAL DUPLICATION
Publication History
Publication Date:
27 March 2018 (online)
A 61-year–old woman was admitted to our department because of a several years history of intermittent non radiating upper abdominal pain. She reported a recent exacerbation of the symptoms, associated with nausea and vomiting.
Physical examination revealed no abnormalities.
Laboratory data including hematology, blood chemistry, were within the reference limits.
The gastrointestinal endoscopy showed a depressible submucosal bulge in the first part of duodenum. It was located 2 cm of the major papilla.
The Abdominal computed tomography revealed a 5,5 cm bi-lobated cystic mass that protruded inside the first and second duodenum lumen. The diagnosis was a duodenal duplication. We choose to treat the patient by an endoscopic marsupialization of the cyst.
The procedure were performed with standard, adult, side-viewing duodenoscope.
An incision was made with a needle–knife papillotome on the cyst. Then, we opened a large portion of the luminal cyst wall with a standard sphincterotome. The incision was extended until an opening of 1.5 cm was obtained.
The histologic examination of biopsy, taken from the open cyst cavity, confirmed normal-appearing duodenal mucosa.
Six weeks later, a second endoscopy was performed and the duplication cavity was found to be totally collapsed.
The patient remained symptom free 24 months after the procedure.