Presentation and Surgical Management of Duodenal Duplication in Adults
Duodenal duplications in adults are exceedingly rare and their diagnosis remains difficult as symptoms are largely nonspecific. Clinical presentations include pancreatitis, biliary obstruction, gastrointestinal bleeding from ectopic gastric mucosa, and malignancy. A case of duodenal duplication in a...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2015/659150 |
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| author | Caroline C. Jadlowiec Beata E. Lobel Namita Akolkar Michael D. Bourque Thomas J. Devers David W. McFadden |
| author_facet | Caroline C. Jadlowiec Beata E. Lobel Namita Akolkar Michael D. Bourque Thomas J. Devers David W. McFadden |
| author_sort | Caroline C. Jadlowiec |
| collection | DOAJ |
| description | Duodenal duplications in adults are exceedingly rare and their diagnosis remains difficult as symptoms are largely nonspecific. Clinical presentations include pancreatitis, biliary obstruction, gastrointestinal bleeding from ectopic gastric mucosa, and malignancy. A case of duodenal duplication in a 59-year-old female is presented, and her treatment course is reviewed with description of combined surgical and endoscopic approach to repair, along with a review of historic and current recommendations for management. Traditionally, gastrointestinal duplications have been treated with surgical resection; however, for duodenal duplications, the anatomic proximity to the biliopancreatic ampulla makes surgical management challenging. Recently, advances in endoscopy have improved the clinical success of cystic intraluminal duodenal duplications. Despite these advances, surgical resection is still recommended for extraluminal tubular duplications although combined techniques may be necessary for long tubular duplications. For duodenal duplications, a combined approach of partial excision combined with mucosal stripping may offer advantage. |
| format | Article |
| id | doaj-art-00d5933c561e4a458c21230722b5d1b4 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-00d5933c561e4a458c21230722b5d1b42025-02-03T01:12:48ZengWileyCase Reports in Surgery2090-69002090-69192015-01-01201510.1155/2015/659150659150Presentation and Surgical Management of Duodenal Duplication in AdultsCaroline C. Jadlowiec0Beata E. Lobel1Namita Akolkar2Michael D. Bourque3Thomas J. Devers4David W. McFadden5University of Connecticut General Surgery Residency Program, Farmington, CT 06030, USAUniversity of Connecticut General Surgery Residency Program, Farmington, CT 06030, USAUniversity of Connecticut General Surgery Residency Program, Farmington, CT 06030, USAUniversity of Connecticut General Surgery Residency Program, Farmington, CT 06030, USAUniversity of Connecticut Health Center, Division of Gastroenterology, Farmington, CT 06030, USAUniversity of Connecticut General Surgery Residency Program, Farmington, CT 06030, USADuodenal duplications in adults are exceedingly rare and their diagnosis remains difficult as symptoms are largely nonspecific. Clinical presentations include pancreatitis, biliary obstruction, gastrointestinal bleeding from ectopic gastric mucosa, and malignancy. A case of duodenal duplication in a 59-year-old female is presented, and her treatment course is reviewed with description of combined surgical and endoscopic approach to repair, along with a review of historic and current recommendations for management. Traditionally, gastrointestinal duplications have been treated with surgical resection; however, for duodenal duplications, the anatomic proximity to the biliopancreatic ampulla makes surgical management challenging. Recently, advances in endoscopy have improved the clinical success of cystic intraluminal duodenal duplications. Despite these advances, surgical resection is still recommended for extraluminal tubular duplications although combined techniques may be necessary for long tubular duplications. For duodenal duplications, a combined approach of partial excision combined with mucosal stripping may offer advantage.http://dx.doi.org/10.1155/2015/659150 |
| spellingShingle | Caroline C. Jadlowiec Beata E. Lobel Namita Akolkar Michael D. Bourque Thomas J. Devers David W. McFadden Presentation and Surgical Management of Duodenal Duplication in Adults Case Reports in Surgery |
| title | Presentation and Surgical Management of Duodenal Duplication in Adults |
| title_full | Presentation and Surgical Management of Duodenal Duplication in Adults |
| title_fullStr | Presentation and Surgical Management of Duodenal Duplication in Adults |
| title_full_unstemmed | Presentation and Surgical Management of Duodenal Duplication in Adults |
| title_short | Presentation and Surgical Management of Duodenal Duplication in Adults |
| title_sort | presentation and surgical management of duodenal duplication in adults |
| url | http://dx.doi.org/10.1155/2015/659150 |
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