Öz
Duodenal duplication cysts are rare congenital anomalies. Most symptomatic cases are diagnosed in childhood. In adults, they usually present with symptoms of recurrent pancreatitis, duodenal obstruction or gastrointestinal bleeding. Diagnosis is confirmed by histopathology. Diagnosis can also be achieved by endoscopic and/or radiologic imaging techniques. Symptomatic cases are treated by surgical resection or by using a variety of endoscopic techniques. Asymptomatic patients should be followed because of malignant degeneration risk. Here, we report an asymptomatic patient with duodenal duplication cyst diagnosed by endoscopic and radiologic imaging techniques.
Anahtar Kelimeler
Kaynakça
- Leffall LS Jr, Jackson M, Press H, et al. Duplication cyst of the duode- num. Arch Surg 1967; 94: 30-4.
- Geller A, Wang KK, DiMagno EP. Diagnosis of foregut duplication cysts by endoscopic ultrasonography. Gastroenterology 1995; 109: 838-42.
- Rutledge PL, Warshaw AL. Persistent acute pancreatitis. A variant trea- ted by pancreatoduodenectomy. Arch Surg 1988; 123: 597-600.
- Dave P, Romeu J, Clary S, et al. Endoscopic removal of an obstructing duodenal duplication cyst. Endoscopy 1984; 16: 75-6.
- Lakhtakia S, Gupta R, Mateen MA, et al. Giant choledochocele presen- ting as intusseption. Gastrointest Endosc 2008; 68: 1194-6.
- Antaki F, Tringali A, Deprez P, et al. A case series of symptomatic intra- luminal duodenal duplication cysts: presentation, endoscopic therapy, and long-term outcome. Gastrointest Endosc 2008; 67: 163-8.
- Niehues R, Dietl KH, Bettendorf O, et al. Duodenal duplication cyst mi- micking pancreatic cyst in a patient with pancreatitis. Gastrointest En- dosc 2005; 62: 190-2.
- Sezgin O, Altiparmak E, Yilmaz U, et al. Endoscopic management of a duodenal duplication cyst associated with biliary obstruction in an adult. J Clin Gastroenterol 2001; 32: 353-5.
- Inoue M, Nishimura O, Andachi H, Koga S. Early cancer of duodenal duplication. A case report. Gastroenterol Jpn 1979; 14: 233-7.
- Falk GL, Young CJ, Parer J. Adenocarcinoma arising in a duodenal dup- lication cyst: a case report. Aust N Z J Surg 1991; 61: 551-3.
- Hata H, Hiraoka N, Ojima H, et al. Carcinoid tumor arising in a dupli- catin cyst of the duodenum. Pathol Int 2006; 56; 272-8.
Öz
Duodenal duplikasyon kistleri nadir görülen konjenital anomalilerdir. Çoğu semptomatik olguya çocukluk çağında tanı konur. Erişkinlerde genellikle tekrarlayan pankreatit, duodenal obstrüksiyon veya gastrointestinal kanama kliniği ile ortaya çıkar. Tanı histopatoloji ile konur. Endoskopik ve/veya radyolojik görüntüleme yöntemlerinden ayırıcı tanıda faydalanılır. Semptomatik olgular cerrahi rezeksiyon veya çeşitli endoskopik metodlar ile tedavi edilir. Malign dejenerasyon riski nedeni ile asemptomatik hastalar takip edilmelidir. Burada endoskopik ve radyolojik görüntüleme yöntemleri ile tanı koyduğumuz duodenal duplikasyon kisti olan asemptomatik bir olguyu sunmaktayız.
Anahtar Kelimeler
Kaynakça
- Leffall LS Jr, Jackson M, Press H, et al. Duplication cyst of the duode- num. Arch Surg 1967; 94: 30-4.
- Geller A, Wang KK, DiMagno EP. Diagnosis of foregut duplication cysts by endoscopic ultrasonography. Gastroenterology 1995; 109: 838-42.
- Rutledge PL, Warshaw AL. Persistent acute pancreatitis. A variant trea- ted by pancreatoduodenectomy. Arch Surg 1988; 123: 597-600.
- Dave P, Romeu J, Clary S, et al. Endoscopic removal of an obstructing duodenal duplication cyst. Endoscopy 1984; 16: 75-6.
- Lakhtakia S, Gupta R, Mateen MA, et al. Giant choledochocele presen- ting as intusseption. Gastrointest Endosc 2008; 68: 1194-6.
- Antaki F, Tringali A, Deprez P, et al. A case series of symptomatic intra- luminal duodenal duplication cysts: presentation, endoscopic therapy, and long-term outcome. Gastrointest Endosc 2008; 67: 163-8.
- Niehues R, Dietl KH, Bettendorf O, et al. Duodenal duplication cyst mi- micking pancreatic cyst in a patient with pancreatitis. Gastrointest En- dosc 2005; 62: 190-2.
- Sezgin O, Altiparmak E, Yilmaz U, et al. Endoscopic management of a duodenal duplication cyst associated with biliary obstruction in an adult. J Clin Gastroenterol 2001; 32: 353-5.
- Inoue M, Nishimura O, Andachi H, Koga S. Early cancer of duodenal duplication. A case report. Gastroenterol Jpn 1979; 14: 233-7.
- Falk GL, Young CJ, Parer J. Adenocarcinoma arising in a duodenal dup- lication cyst: a case report. Aust N Z J Surg 1991; 61: 551-3.
- Hata H, Hiraoka N, Ojima H, et al. Carcinoid tumor arising in a dupli- catin cyst of the duodenum. Pathol Int 2006; 56; 272-8.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Makaleler |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Ağustos 2010 |
| Yayımlandığı Sayı | Yıl 2010 Cilt: 18 Sayı: 2 |