Duodenal duplication cyst causing severe pancreatitis: imaging findings and pathological correlation

World Journal of Gastroenterology : WJG
Alessandro GuariseMassimo Falconi


We here report a case of a 18-year-old man with a history of recurrent abdominal pain and a previous episode of severe acute pancreatitis. Abdominal ultrasonography, contrast enhanced multislice computer tomography, endoscopic retrograde cholangiopancreatography, endoscopic ultrasonography and magnetic resonance imaging demonstrated a cystic mass lesion. Only on delayed phase magnetic resonance images after Gadolinium-BOPTA injection, it was possible to demonstrate the lesionos relationship with the biliary tree, differentiating the lesion from intraluminal duodenal diverticulum, and to achieve the diagnosis of duodenal duplication cyst, a recognized rare cause of acute pancreatitis. The diagnosis was confirmed by histology.


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Jan 31, 2002·Pediatric Radiology·Alex Mun-Ching WongMan-Shan Kong

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