Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2022 Mar 15:10:833304.
doi: 10.3389/fped.2022.833304. eCollection 2022.

Intraluminal Diverticular Duodenal Duplication With Recurrent Abdominal Pain: A Case Report

Jie Chen  1 , Guo-Zuo Xiong  1 , Xiong Tan  1 , Fei Wu  2 , Dong-Yang Luo  1 , Qing-Qing Zou  1 , Zhihe Deng  1 , Guo-Shan Bi  1
Affiliations
Case Reports

Intraluminal Diverticular Duodenal Duplication With Recurrent Abdominal Pain: A Case Report

Jie Chen et al. Front Pediatr. .

Abstract

Duodenal duplication is a rare congenital anomaly and may manifest as pancreatitis, gastrointestinal bleeding, abdominal pain, perforation, and obstruction. Here, we present a case of intraluminal diverticular duodenal duplication (IDDD) in a child with recurrent abdominal pain caused by a large hole-like structure in the duodenal bulb. This condition has rarely been reported. An 11-year-old boy presented with recurrent attacks of abdominal pain. Upper endoscopy examination and barium swallowing led to an initial diagnosis of IDDD; this diagnosis was confirmed by operative findings and histopathological signs. He underwent a subtotal excision and duodenal anastomosis. No serious complications occurred following treatment. The patient was followed up for 8 months, and his condition improved without symptoms.

Keywords: abdominal pain; diagnosis; intraluminal tubular duodenal duplication; pediatric surgery; subtotal excision.

PubMed Disclaimer

Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Barium swallowing demonstrated a peculiar defect on the duodenum bulb. The barium-filled structure was huge and had a blind end.
Figure 2
Figure 2
Endoscopy showed a connection with an extra lumen in the duodenal bulb, which shared the common wall with the duodenum bulb.
Figure 3
Figure 3
Operative examination revealed a massive lesion that was intimately attached to the big bay of the stomach.
Figure 4
Figure 4
Histological examination of the resected specimen revealed that it featured complete layering with a mucosa, submucosa, muscularis, and serosa.
See this image and copyright information in PMC

Similar articles

See all similar articles

References

    1. Law R, Topazian M, Baron TH. Endoscopic treatment of intraluminal duodenal (“windsock”) diverticulum: varying techniques from five cases. Endoscopy. (2012) 44:1161–4. 10.1055/s-0032-1325757 - DOI - PubMed
    1. Rattan KN, Bansal S, Dhamija A. Gastrointestinal duplication presenting as neonatal intestinal obstruction: an experience of 15 years at tertiary care centre. J Neonatal Surg. (2017) 6:5. 10.21699/jns.v5i4.432 - DOI - PMC - PubMed
    1. Cheng CL, Liu NJ, Yu MC. Intraluminal tubular duodenal duplication with bleeding. Clin Gastroenterol Hepatol. (2014) 12:e10–11. 10.1016/j.cgh.2013.08.007 - DOI - PubMed
    1. Kapuria D, Jonnalagadda S. The “windsock sign”: intraluminal duodenal diverticulum. Clin Gastroenterol Hepatol. (2016) 14:e93–94. 10.1016/j.cgh.2015.12.035 - DOI - PubMed
    1. Karagyozov P, Tishkov I, Georgieva Z, Boeva I, Tzankov D. Intraluminal duodenal (“windsock”) diverticulum: a rare cause of biliary obstruction and acute pancreatitis in the adult. Endoscopy Int Open. (2019) 7:E87–9. 10.1055/a-0808-3834 - DOI - PMC - PubMed

Publication types

LinkOut - more resources