2021 Volume 57 Issue 3 Pages 645-651
The patient was a 7-year-old boy. After being diagnosed as having acute pancreatitis, he was referred to our hospital after developing acute pancreatitis at 7 years of age and, at that time, was diagnosed as having duodenal duplication. The attending physician planned to perform endoscopic treatment, which is less invasive than surgical resection because he was a child. The cyst was incised and an ERBD tube was put in place to drain it. He thereafter regularly visited the outpatient clinic. However, three years later, he was again referred to our department after being diagnosed as having bowel obstruction. Abdominal CT revealed a drainage tube in the intestinal tract at the terminal ileum, which was the origin of the obstruction, and emergency laparotomy was thus performed. The surgical findings revealed an enterolith and a piece of a drainage tube in the intestine at the origin of the obstruction, and a diagnosis of intestinal obstruction due to a stent–stone complex was thus made. The intestine was incised and the drainage tube and enteric stone were both successfully removed to release the obstruction. Duodenal duplication is extremely rare, and there are few reports of endoscopic treatment for pediatric cases, and reports of pediatric cases of SSC are also extremely rare. Also, there are few reports of adult cases of SSC, and this is the first report of a pediatric case in Japan. In this case, we describe our findings and also discuss the course of the diagnosis and treatment, as well as report on the clinical course of bowel obstruction as a complication.
