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Case Reports
. 2022 Jul 5;2022(7):rjac326.
doi: 10.1093/jscr/rjac326. eCollection 2022 Jul.

A rare case of a congenital pancreatic duplication cyst in an infant complicated by an upper GI bleed, pancreatitis, cyst infection and gastric outlet obstruction

Lina Cadili  1 , Krystal L Cullen  2 , Nicola J Finn  3 , Andrew Singh  4 , Eric Webber  1 , Allen H Hayashi  1
Affiliations
Case Reports

A rare case of a congenital pancreatic duplication cyst in an infant complicated by an upper GI bleed, pancreatitis, cyst infection and gastric outlet obstruction

Lina Cadili et al. J Surg Case Rep. .

Abstract

Enteric duplication cysts are rare congenital entities most commonly found in the esophagus, ileum or colon but can be in remote locations such as the biliary tree, liver or pancreas. Pancreatic duplication cysts are very uncommon and usually present in adulthood with pancreatitis or abdominal pain. Here, we present a unique and complex case of an infant with a pancreatic duplication cyst initially presenting with an upper gastrointestinal bleed followed by pancreatitis, cyst infection and gastric outlet obstruction.

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Figures

Figure 1
Figure 1
MRI images from initial upper GI bleed presentation.
Figure 2
Figure 2
Intraoperative image showing the duplication cyst in relation to surrounding organs, and the inflammatory tissue extending from the mass to the colon (at the tip of the forceps).
Figure 3
Figure 3
Intraoperative ultrasound image revealing a thick-walled mass intimately associated with the pancreas filled with fluid and mucous debris.
Figure 4
Figure 4
Cystgastrostomy formation after mucosectomy.
Figure 5
Figure 5
Penrose drain fixed across the cystgastrostomy with PDS sutures.
See this image and copyright information in PMC

References

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    1. Spivak H, Pascal RR, Wood WC, et al. Enteric duplication presenting as cystic tumors of the pancreas. Surgery 1997;121:597–600. - PubMed
    1. Nebot CS, Salvador RL, Palacios EC, Aliaga SP, Pradas VI. Enteric duplication cysts in children: varied presentations, varied imaging findings. Insights Imaging 2018;9:1097–106. - PMC - PubMed
    1. Simon R, Zoog E, Philips G, et al. Intrapancreatic enteric duplication cyst masquerading as groove pancreatitis. Acg Case Reports J 2017;4:e123. - PMC - PubMed

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