Uzun MA, Koksal N, Kayahan M, Celik A, Kılıcoglu G, Ozkara S. A rare case of duodenal duplication treated surgically. World J Gastroenterol 2009; 15(7): 882-884 [PMID: 19230053 DOI: 10.3748/wjg.15.882]
Corresponding Author of This Article
Mehmet Ali Uzun, Hamidiye Mah. Gurbuz Sk. Bolelli Camlik Evleri B Blok D: 12 Cekmekoy, Umraniye, Istanbul 34783, Turkey. mauzun@ttmail.com
Article-Type of This Article
Case Report
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World J Gastroenterol. Feb 21, 2009; 15(7): 882-884 Published online Feb 21, 2009. doi: 10.3748/wjg.15.882
A rare case of duodenal duplication treated surgically
Mehmet Ali Uzun, Neset Koksal, Munire Kayahan, Atilla Celik, Gamze Kılıcoglu, Selvinaz Ozkara
Mehmet Ali Uzun, Neset Koksal, Munire Kayahan, Atilla Celik, 2nd Department of General Surgery, Haydarpasa Numune Training and Research Hospital, Istanbul 34783, Turkey
Gamze Kılıcoglu, Department of Radiology, Haydarpasa Numune Training and Research Hospital, Istanbul 34783, Turkey
Selvinaz Ozkara, Department of Pathology, Haydarpasa Numune Training and Research Hospital, Istanbul 34783, Turkey
Author contributions: Uzun MA, Koksal N performed the operation; Kılıcoglu G performed the radiological detection; Ozkara S performed the pathological detection; Uzun MA, Kayahan M and Celik A wrote the paper.
Correspondence to: Mehmet Ali Uzun, Hamidiye Mah. Gurbuz Sk. Bolelli Camlik Evleri B Blok D: 12 Cekmekoy, Umraniye, Istanbul 34783, Turkey. mauzun@ttmail.com
Telephone: +90-216-6423077
Fax: +90-216-3475144
Received: June 14, 2008 Revised: January 20, 2009 Published online: February 21, 2009
Abstract
Duodenal duplication, a rare congenital malformation, can also be observed in adulthood. Although it can be cystic or tubular, communicating or non-communicating, cystic and non-communicating forms are the most common. Several complications, such as obstruction, bleeding, perforation and pancreatitis, may result. Optimal treatment is total excision, although endoscopic procedures have also been described in appropriate cases. If total excision is not possible, subtotal excision and internal derivation can be performed. The 38-year-old woman presented here had occasional attacks of abdominal pain and obstruction, and we considered the diagnosis of duodenal duplication by abdominal computerized tomography. As we confirmed the diagnosis with operative findings and histopathological signs, we treated her with subtotal excision and intraduodenal cystoduodenostomy.
