A case of a duodenal duplication cyst presenting as melena.

Abstract

Duodenal duplication cysts are benign rare congenital anomalies reported mainly in the pediatric population, but seldom in adults. Symptoms depend on the type and location and can present as abdominal pain, distension, dysphagia or dyspepsia. They have been reported to be responsible for duodenal obstruction, pancreatitis and, in rare cases, gastrointestinal bleeding. We present a case of a duodenal duplication cyst in a 43-year-old man presenting as melena. Initial gastroduodenoscopy and colonoscopy did not reveal any bleeding focus. However, the patient began passing melena after 3 d, with an acute decrease in hemoglobin levels. Subsequent studies revealed a duplication cyst in the second portion of the duodenum which was surgically resected. Histology revealed a duodenal duplication cyst consisting of intestinal mucosa. There was no further bleeding and the patient recovered completely. In rare cases, duodenal duplication cysts might cause gastrointestinal bleeding and should be included in the differential diagnosis.

• Authors: Seung Yeon Ko, Sun Hye Ko, Sungeun Ha, Mi Sung Kim, Hyang Mi Shin, Myong Ki Baeg
• Journal: World journal of gastroenterology (World J Gastroenterol) Vol. 19 Issue 38 Pg. 6490-3 (Oct 14 2013) ISSN: 2219-2840 [Electronic] United States
• PMID: 24151370 (Publication Type: Case Reports, Journal Article)

Topics

• Adult
• Cysts (complications, diagnosis, surgery)
• Duodenal Diseases (complications, diagnosis, surgery)
• Endoscopy, Gastrointestinal
• Gastrointestinal Hemorrhage (etiology)
• Humans
• Intussusception (diagnosis, etiology)
• Male
• Melena (etiology)
• Tomography, X-Ray Computed
• Treatment Outcome