A SEVERE CASE OF ACUTE NECROTIC PANCREATITIS CAUSED BY DUODENAL CYST DUPLICATION
Introduction. Duodenal duplication cyst (DDC) is a rare congenital malformation that appears in the embryonic development of the digestive tract. It is a benign condition usually diagnosed in infancy and early childhood, being a rare and difficult diagnosis in adult population. DDC is a recogni...
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| Format: | Article |
| Language: | English |
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Balkan Medical Union
2018-03-01
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| Series: | Archives of the Balkan Medical Union |
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| Online Access: | http://umbalk.org/wp-content/uploads/2018/03/26.A-SEVERE-CASE-OF-ACUTE-NECROTIC-PANCREATITIS.pdf |
| _version_ | 1819229510539673600 |
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| author | Gabriel Constantinescu Daniela Tabacelia Mihai Ciocirlan Liliana Mirea Catalina Diaconu Vasile Sandru Madalina Ilie |
| author_facet | Gabriel Constantinescu Daniela Tabacelia Mihai Ciocirlan Liliana Mirea Catalina Diaconu Vasile Sandru Madalina Ilie |
| author_sort | Gabriel Constantinescu |
| collection | DOAJ |
| description | Introduction. Duodenal duplication cyst (DDC) is a
rare congenital malformation that appears in the embryonic
development of the digestive tract. It is a benign
condition usually diagnosed in infancy and early
childhood, being a rare and difficult diagnosis in adult
population. DDC is a recognized cause of duodenal
obstruction, acute pancreatitis, obstructive jaundice
and even digestive hemorrhage.
Case presentation. We report the case of a young
adult male with abdominal pain history, who presents
with recurrent episodes of acute severe necrotic pancreatitis.
The abdominal computed tomography scan
revealed a Balthazar C necrotic pancreatitis with partial
thrombosis of the splenic vein and a cystic mass
in the second part of the duodenum. The endoscopic
ultrasonography (EUS) established that the duodenal
cystic lesion came from the second layer, meaning the
submucosa. We performed endoscopic cystotomy with
complete evacuation of the fluid content into the duodenum,
with favorable clinical outcome.
Conclusions. The particularity of the case is represented
by the low incidence of this pathology and the
rare form of presentation, meaning acute pancreatitis
probably from pancreatic ductular hypertension
caused by the DDC. |
| first_indexed | 2024-12-23T11:14:19Z |
| format | Article |
| id | doaj.art-6127bb015d404aab9726cb60ae4a1fec |
| institution | Directory Open Access Journal |
| issn | 1584-9244 2558-815X |
| language | English |
| last_indexed | 2024-12-23T11:14:19Z |
| publishDate | 2018-03-01 |
| publisher | Balkan Medical Union |
| record_format | Article |
| series | Archives of the Balkan Medical Union |
| spelling | doaj.art-6127bb015d404aab9726cb60ae4a1fec2022-12-21T17:49:16ZengBalkan Medical UnionArchives of the Balkan Medical Union1584-92442558-815X2018-03-01531155159A SEVERE CASE OF ACUTE NECROTIC PANCREATITIS CAUSED BY DUODENAL CYST DUPLICATIONGabriel Constantinescu Daniela Tabacelia Mihai CiocirlanLiliana MireaCatalina DiaconuVasile SandruMadalina IlieIntroduction. Duodenal duplication cyst (DDC) is a rare congenital malformation that appears in the embryonic development of the digestive tract. It is a benign condition usually diagnosed in infancy and early childhood, being a rare and difficult diagnosis in adult population. DDC is a recognized cause of duodenal obstruction, acute pancreatitis, obstructive jaundice and even digestive hemorrhage. Case presentation. We report the case of a young adult male with abdominal pain history, who presents with recurrent episodes of acute severe necrotic pancreatitis. The abdominal computed tomography scan revealed a Balthazar C necrotic pancreatitis with partial thrombosis of the splenic vein and a cystic mass in the second part of the duodenum. The endoscopic ultrasonography (EUS) established that the duodenal cystic lesion came from the second layer, meaning the submucosa. We performed endoscopic cystotomy with complete evacuation of the fluid content into the duodenum, with favorable clinical outcome. Conclusions. The particularity of the case is represented by the low incidence of this pathology and the rare form of presentation, meaning acute pancreatitis probably from pancreatic ductular hypertension caused by the DDC.http://umbalk.org/wp-content/uploads/2018/03/26.A-SEVERE-CASE-OF-ACUTE-NECROTIC-PANCREATITIS.pdfduodenal cyst duplicationsevere acute necrotic pancreatitisendoscopic cystotomy |
| spellingShingle | Gabriel Constantinescu Daniela Tabacelia Mihai Ciocirlan Liliana Mirea Catalina Diaconu Vasile Sandru Madalina Ilie A SEVERE CASE OF ACUTE NECROTIC PANCREATITIS CAUSED BY DUODENAL CYST DUPLICATION Archives of the Balkan Medical Union duodenal cyst duplication severe acute necrotic pancreatitis endoscopic cystotomy |
| title | A SEVERE CASE OF ACUTE NECROTIC PANCREATITIS CAUSED BY DUODENAL CYST DUPLICATION |
| title_full | A SEVERE CASE OF ACUTE NECROTIC PANCREATITIS CAUSED BY DUODENAL CYST DUPLICATION |
| title_fullStr | A SEVERE CASE OF ACUTE NECROTIC PANCREATITIS CAUSED BY DUODENAL CYST DUPLICATION |
| title_full_unstemmed | A SEVERE CASE OF ACUTE NECROTIC PANCREATITIS CAUSED BY DUODENAL CYST DUPLICATION |
| title_short | A SEVERE CASE OF ACUTE NECROTIC PANCREATITIS CAUSED BY DUODENAL CYST DUPLICATION |
| title_sort | severe case of acute necrotic pancreatitis caused by duodenal cyst duplication |
| topic | duodenal cyst duplication severe acute necrotic pancreatitis endoscopic cystotomy |
| url | http://umbalk.org/wp-content/uploads/2018/03/26.A-SEVERE-CASE-OF-ACUTE-NECROTIC-PANCREATITIS.pdf |
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