Endoscopy 2018; 50(04): S183
DOI: 10.1055/s-0038-1637598
ESGE Days 2018 ePosters
Georg Thieme Verlag KG Stuttgart · New York

ENDOSCOPIC TREATMENT OF CYSTIC DUODENAL DUPLICATION

M Medhioub
1   Mohamed Taher Maamouri Hospital, Gastroenerology Department, Nabeul, Tunisia
,
M Lamine Hamzaoui
1   Mohamed Taher Maamouri Hospital, Gastroenerology Department, Nabeul, Tunisia
,
A Khsiba
1   Mohamed Taher Maamouri Hospital, Gastroenerology Department, Nabeul, Tunisia
,
M Mahmoudi
1   Mohamed Taher Maamouri Hospital, Gastroenerology Department, Nabeul, Tunisia
,
M Moussadek Azzouz
1   Mohamed Taher Maamouri Hospital, Gastroenerology Department, Nabeul, Tunisia
› Author Affiliations
Further Information

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.