Acute pancreatitis revealing duodenal duplication in a child

(A) Gastrointestinal tract contrast radiography showed oval-shaped lacunar image located in the second duodenum (arrow pointed). “a” meaned the distance was 38 mm. (B) Magnetic resonance cholangiopancreatography showed duodenal duplication measuring 4 cm×3.2 cm in contact of the Vater-ampulla and biliary duct (arrow pointed). Complete surgical resection is the treatment choice.2 3 However, in front of close proximity with the main pancreatic duct and the common bile-duct like our case, marsupialization may be chosen. [...]a long-term follow-up would be necessary mainly for patients who underwent marsupialization. J Pediatr Surg 2010; 45: 1598–606. doi:10.1016/j.jpedsurg.2010.01.010 20713206 3 Kawahara H, Takahashi T, Okada A. Characteristics of duodenal duplications causing pancreatitis in children and adolescents: a case report and review of the literature.