Laparoscopic Resection of a Duodenal Duplication Cyst

Raffaella Emsley, Takamune Yamaguchi, Alessandra Cristaudi and Nermin Halkic

Department of Visceral Surgery, Lausanne University Hospital, University of Lausanne, Switzerland

^*Correspondance to: Nermin Halkic 

 PDF  Full Text DOI: 10.25107/2474-1647.2614

Abstract

Background: Duodenal duplications is rare disease especially in adult patients. The recommended treatment is complete surgical resection. We present a review of the current literature on duodenal duplications and focus on a case of duodenal duplication in a 33-year-old woman who was treated laparoscopically Methods: A PubMed search using the keywords “duodenal” and “duplication” was performed. Results: Sixteen cases were included in our review; 56% were in men, with an average age at diagnosis of 44 years. All the patients presented with vomiting, 94% had abdominal pain, and only 37% reported weight loss. A palpable abdominal mass was found in one patient. The patients were examined using, on average, 3 different imaging techniques (63% received a computerized tomography scan; 56% underwent endoscopy; and 44% underwent an upper gastrointestinal series). The median cyst size was 7 cm, 63% were in the second duodenum, and 87% did not communicate with the lumen of the bowel. Eighty-one percent of the patients were treated via a laparotomy, 13% via endoscopy, and 6% via laparoscopy. Malignant transformation was observed in one patient. Conclusion: Because of the risk of malignant transformation, complete resection of the duodenal duplication cyst is recommended. Based on a case treated at our institution, we show that laparoscopy is a promising alternative to a laparotomy, if anatomically possible.

Keywords

Duodenal duplication cyst; CT; MRI

Cite the article

Emsley R, Yamaguchi T, Cristaudi A, Halkic N. Laparoscopic Resection of a Duodenal Duplication Cyst. Clin Surg. 2019; 4: 2614.