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Case Reports in Surgery
Volume 2015 (2015), Article ID 749085, 4 pages
http://dx.doi.org/10.1155/2015/749085
Case Report

Duplication Cyst in the Third Part of the Duodenum Presenting with Gastric Outlet Obstruction and Severe Weight Loss

1Department of Surgery, Almouwasat University Hospital, Damascus, Syria
2Laboratory of Anatomy, Faculty of Medicine, University of Damascus, Damascus, Syria

Received 25 August 2015; Accepted 28 October 2015

Academic Editor: Boris Kirshtein

Copyright © 2015 Osama Shaheen et al. 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.

Abstract

Duodenal duplication is a rare developmental abnormality which is usually diagnosed in infancy and childhood, but less frequently in adulthood. We report a case of a 16-year-old female with a duplication cyst in the third part of the duodenum. The patient presented with symptoms of gastric outlet obstruction, including severe anorexia and weight loss. The diagnosis was made preoperatively by CT scan and upper endoscopy. The cyst was successfully treated by marsupialization on the duodenum using a GIA stapler. Duodenal duplication presents with a wide variety of symptoms. Although illusive, many cases can be properly diagnosed preoperatively by using the appropriate imaging modalities. Treatment choices are tailored according to the size and location of the cyst, in addition to its relation to adjacent structures. The outcomes are favorable in the majority of patients.