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[Duodenal duplication revealed by acute pancreatitis]. / Duplication duodénale révélée par une pancréatite aiguë.
Le Stradic, C; Aroulandom, J; Kotobi, H; Pariente, D; Gaboran, C; Lemale, J; Dubern, B; Tounian, P.
Afiliação
  • Le Stradic C; Service de nutrition et gastroentérologie pédiatriques, hôpital Trousseau, AP-HP, 26, avenue du Dr-Arnold-Netter, 75012 Paris, France.
  • Aroulandom J; Service de nutrition et gastroentérologie pédiatriques, hôpital Trousseau, AP-HP, 26, avenue du Dr-Arnold-Netter, 75012 Paris, France. Electronic address: joseph.aroulandom@aphp.fr.
  • Kotobi H; Service de chirurgie pédiatrique viscérale et néonatale, hôpital Trousseau, AP-HP, 26, avenue du Dr-Arnold-Netter, 75012 Paris, France.
  • Pariente D; Service de radiologie pédiatrique, hôpital Bicêtre, AP-HP, 78, rue du Général-Leclerc, 94270 Le Kremlin-Bicêtre, France.
  • Gaboran C; Service de pédiatrie, centre hospitalier François-Quesnay, boulevard Sully, 78200 Mantes-la-Jolie, France.
  • Lemale J; Service de nutrition et gastroentérologie pédiatriques, hôpital Trousseau, AP-HP, 26, avenue du Dr-Arnold-Netter, 75012 Paris, France.
  • Dubern B; Service de nutrition et gastroentérologie pédiatriques, hôpital Trousseau, AP-HP, 26, avenue du Dr-Arnold-Netter, 75012 Paris, France.
  • Tounian P; Service de nutrition et gastroentérologie pédiatriques, hôpital Trousseau, AP-HP, 26, avenue du Dr-Arnold-Netter, 75012 Paris, France.
Arch Pediatr ; 23(10): 1063-1066, 2016 Oct.
Article em Fr | MEDLINE | ID: mdl-27618291
INTRODUCTION: Duodenal duplications are rare congenital malformations whose revealing signs are highly variable and nonspecific. OBSERVATION: We report the case of a female infant who presented with neonatal acute pancreatitis complicated by recurrent ascites, profound hypoalbuminemia responsible for pleural and pericardial effusions, revealing a duodenal duplication cyst. The unusual and original clinical presentation as well as the difficulty detecting the duplication radiologically delayed the diagnosis. A prolonged medical treatment with octreotide, albumin infusions, and exclusive parenteral nutrition led to an almost total disappearance of the ascites before surgery. The outcome was favorable after surgical removal of the duplication with 1 year of follow-up. CONCLUSION: The diagnosis of duodenal duplication can be difficult and it may be necessary to repeat the ultrasound examinations. Surgical resection is delicate, especially when there is an abundant pancreatic ascites. Therefore, an adequate prolonged medical treatment to reduce this ascites is recommended before the surgery.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Pancreatite / Duodeno Tipo de estudo: Etiology_studies Limite: Female / Humans / Newborn Idioma: Fr Revista: Arch Pediatr Ano de publicação: 2016 Tipo de documento: Article País de afiliação: França

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Pancreatite / Duodeno Tipo de estudo: Etiology_studies Limite: Female / Humans / Newborn Idioma: Fr Revista: Arch Pediatr Ano de publicação: 2016 Tipo de documento: Article País de afiliação: França