European J Pediatr Surg Rep. 2015; 03(02): 082-084
DOI: 10.1055/s-0035-1558827
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Duodenal Duplication Cyst: A Rare Differential Diagnosis in a Neonate with Bilious Vomiting

Božidar Župančić
1  Department of Pediatric Surgery, Zagreb Children's Hospital, Zagreb, Croatia
,
Andro Gliha
1  Department of Pediatric Surgery, Zagreb Children's Hospital, Zagreb, Croatia
,
Jose Varas Fuenzalida
1  Department of Pediatric Surgery, Zagreb Children's Hospital, Zagreb, Croatia
,
Stjepan Višnjić
1  Department of Pediatric Surgery, Zagreb Children's Hospital, Zagreb, Croatia
› Author Affiliations
Further Information

Publication History

08 December 2014

31 May 2015

Publication Date:
10 September 2015 (online)

Abstract

Bilious vomiting is a relevant sign in neonates that requires immediate evaluation and diagnosis. A duplication of the intestinal tract is a possible cause of obstruction if located distally to the major duodenal papilla of Vater and most of them involve the jejunum, stomach, or colon. Duodenal duplications are very rare and can have an endoscopic or surgical treatment after diagnosis. We present a case of a 16-day-old term newborn that consulted because of bilious vomiting and after evaluation with imaging and upper endoscopy, a duodenal duplication cyst was found at the level of the third portion causing compression of the intestinal lumen that required surgical resolution with duodenocystostomy.