Case Report
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World J Gastroenterol. Jan 28, 2014; 20(4): 1123-1126
Published online Jan 28, 2014. doi: 10.3748/wjg.v20.i4.1123
Laparoscopic partial cystectomy with mucosal stripping of extraluminal duodenal duplication cysts
Jeik Byun, Hyoung-Min Oh, Soo-Hong Kim, Hyun-Young Kim, Sung-Eun Jung, Kwi-Won Park, Woo-Sun Kim
Jeik Byun, Hyoung-Min Oh, Soo-Hong Kim, Hyun-Young Kim, Sung-Eun Jung, Kwi-Won Park, Department of Pediatric Surgery, Seoul National University Children’s Hospital, Seoul 110-744, South Korea
Woo-Sun Kim, Department of Radiology, Seoul National University Hospital, Seoul 110-744, South Korea
Author contributions: Byun J, Oh HM and Kim HY designed the report; Oh HM, Kim SH, Kim HY and Park KW were attending doctors for the patient; Kim HY performed the operation; Kim WS performed diagnostic imaging; Jung SE organized the report; Byun J wrote the paper.
Correspondence to: Hyun-Young Kim, MD, Department of Pediatric Surgery, Seoul National University Children’s Hospital, 101 Daehang-ro, Yeongeon-dong, Jongro-gu, Seoul 110-744, South Korea. spkhy02@snu.ac.kr
Telephone: +82-2-20722478 Fax: +82-2-7475130
Received: September 2, 2013
Revised: October 12, 2013
Accepted: November 12, 2013
Published online: January 28, 2014
Abstract

Duodenal duplication cysts are rare congenital anomalies. Duodenal duplication should be considered in the differential diagnosis of patients who present with abdominal symptoms with cystic structures neighboring the duodenum. Here, we present an 8-year-old girl with a duodenal duplication cyst treated with partial cystectomy with mucosal stripping performed laparoscopically. Laparoscopic surgery can be considered as a treatment option for duodenal duplication cysts, especially in extraluminal locations.

Keywords: Duodenal duplication cyst, Laparoscopic surgery, Partial cystectomy, Extraluminal situation, Children

Core tip: In duodenal duplication cysts, the endoscopic approach has limitations in extraluminal situations. Endoscopic internal derivation cannot remove the mucosal layer where malignancy mainly occurs, therefore, we propose that laparoscopic surgery can be considered as a treatment option for duodenal duplication cysts, especially in extraluminal locations.