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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.

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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

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