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Canadian Journal of Gastroenterology
Volume 23, Issue 11, Pages 749-752
Brief Communication

Recurrent Acute Pancreatitis Secondary to a Duodenal Duplication Cyst in an Adult. A Case Report and Literature Review

Nikolaos S Salemis,1 Christos Liatsos,2 Michail Kolios,3 and Stavros Gourgiotis1

12nd Department of Surgery, Army General Hospital, Athens, Greece
2Department of Gastroenterology, Army General Hospital, Athens, Greece
3Department of Radiology, Army General Hospital, Athens, Greece

Received 4 February 2009; Accepted 12 March 2009

Copyright © 2009 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Duodenal duplication cysts are rare congenital abnormalities that are most commonly diagnosed in infancy and childhood. However, in rare cases, the lesion can remain asymptomatic until adulthood. An extremely rare case of a previously healthy adult patient with recurrent acute pancreatitis, who was diagnosed with a duodenal duplication cyst is presented. At laparotomy, a duplication cyst measuring 4.8 cm × 4 cm × 4 cm was found adjacent to the ampulla of Vater. A partial cyst excision and marsupialization into the duodenal lumen was performed. The patient is healthy and asymptomatic four years after surgery. The present case illustrates the necessity of considering a duodenal duplication cyst in the differential diagnosis of recurrent acute pancreatitis in previously healthy adults.