Duodenal duplication cyst causing massive bleeding in an adult: an unusual complication of a duplication cyst of the digestive tract.

Abstract:

:Duodenal duplication cysts are rare malformations that characteristically manifest with intestinal obstruction. In a 50-year experience, we found a duodenal duplication cyst in only three patients, one of whom had massive gastrointestinal bleeding as the initial symptom. Six other duplication cysts (two esophageal, one jejunal, and three ileal) were found. All patients who had extraduodenal intestinal cysts were neonates or infants who initially had an abdominal mass or obstruction. Of the two patients with an esophageal cyst, one had odynophagia and the other had respiratory obstruction. Unusual features of our series of patients were male preponderance (eight of nine patients), the low incidence of other developmental abnormalities, and, in the patients with the duodenal cysts, an age of 14 years or older at the time of onset of symptoms and diagnosis. In an adult, a duodenal duplication cyst may cause upper gastrointestinal hemorrhage. This cause of gastrointestinal bleeding should be considered in the differential diagnosis if an intramural duodenal mass is detected within the medial wall of the second portion of the duodenum distal to the papilla of Vater.

journal_name

Mayo Clin Proc

journal_title

Mayo Clinic proceedings

authors

Knight CD Jr,Allen MJ,Nagorney DM,Wold LE,DiMagno EP

doi

10.1016/s0025-6196(12)60419-4

subject

Has Abstract

pub_date

1985-11-01 00:00:00

pages

772-5

issue

11

eissn

0025-6196

issn

1942-5546

pii

S0025-6196(12)60419-4

journal_volume

60

pub_type

杂志文章
  • Current diagnosis and treatment of gastroesophageal reflux disease.

    abstract:OBJECTIVE:To review recent advances in the diagnosis and treatment of gastroesophageal reflux disease (GERD). MATERIAL AND METHODS:Original English language reports were obtained through a Medline search of the National Library of Medicine up to and including 1993. The reference lists of all original reports and revie...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章,评审

    doi:10.1016/s0025-6196(12)61790-x

    authors: DeVault KR,Castell DO

    更新日期:1994-09-01 00:00:00

  • Pulmonary alveolar phospholipoproteinosis: experience with 34 cases and a review.

    abstract::A retrospective review of Mayo Clinic records through 1983 revealed 84 patients (24 male and 10 female; mean age, 41 years) with the diagnosis of pulmonary alveolar phospholipoproteinosis. The major clinical features were dyspnea, cough, fever, and chest pain. Chest roentgenograms usually showed bilateral symmetric al...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章,评审

    doi:10.1016/s0025-6196(12)65477-9

    authors: Prakash UB,Barham SS,Carpenter HA,Dines DE,Marsh HM

    更新日期:1987-06-01 00:00:00

  • Albuminocytologic Dissociation in Posterior Reversible Encephalopathy Syndrome.

    abstract:OBJECTIVES:To describe cerebrospinal fluid (CSF) findings in patients with posterior reversible encephalopathy syndrome (PRES) and to study its association with vasogenic edema. PATIENTS AND METHODS:Retrospective review of 73 consecutive prospectively collected adults diagnosed with PRES from January 1, 2000, through ...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:10.1016/j.mayocp.2015.07.018

    authors: Datar S,Singh TD,Fugate JE,Mandrekar J,Rabinstein AA,Hocker S

    更新日期:2015-10-01 00:00:00

  • Ideal cardiovascular health and mortality: Aerobics Center Longitudinal Study.

    abstract:OBJECTIVE:To analyze the relationship of ideal cardiovascular health to disease-specific death. PATIENTS AND METHODS:We used data from the Aerobics Center Longitudinal Study from October 9, 1987, to March 3, 1999, to estimate the prevalence of ideal cardiovascular health in 11,993 individuals (24.3% women) and to exam...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:10.1016/j.mayocp.2012.07.015

    authors: Artero EG,España-Romero V,Lee DC,Sui X,Church TS,Lavie CJ,Blair SN

    更新日期:2012-10-01 00:00:00

  • Calcification of the coronary arteries in the absence of atherosclerotic plaque.

    abstract::Arterial calcification in the coronary arteries frequently indicates concomitant atherosclerotic plaque but can be present in the medial layers with no evidence of plaque. Calcification of the medial layer of arteries is seen most often in the peripheral arteries but also is widely recognized In the coronary arteries....

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:10.1016/S0025-6196(11)61536-X

    authors: Qiao JH,Doherty TM,Fishbein MC,Salusky IB,Luthringer DL,Fitzpatrick LA,Shah PK,Rajavashisth TB

    更新日期:2005-06-01 00:00:00

  • Chronic noncancer pain rehabilitation with opioid withdrawal: comparison of treatment outcomes based on opioid use status at admission.

    abstract:OBJECTIVE:To study differences in treatment outcomes between patients with chronic noncancer pain taking vs those not taking maintenance opioids at admission to a pain rehabilitation program. PATIENTS AND METHODS:A nonrandomized 2-group prepost design was used to compare 356 patients admitted to the Mayo Comprehensive...

    journal_title:Mayo Clinic proceedings

    pub_type: 临床试验,杂志文章

    doi:10.4065/79.6.759

    authors: Rome JD,Townsend CO,Bruce BK,Sletten CD,Luedtke CA,Hodgson JE

    更新日期:2004-06-01 00:00:00

  • Enteric protein loss after the Fontan operation.

    abstract:OBJECTIVE:The current study was undertaken to assess the frequency of excessive enteric protein loss and protein-losing enteropathy in the relatively early period after the Fontan operation. DESIGN:Protein excretion was determined in 26 of 27 consecutive patients who underwent the Fontan procedure between January and ...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:10.1016/s0025-6196(12)61035-0

    authors: Davis CA,Driscoll DJ,Perrault J,Greenwood DH,Schaff HV,Puga FJ,Danielson GK,Feldt RH

    更新日期:1994-02-01 00:00:00

  • Total respiratory resistance by forced oscillation in normal subjects.

    abstract::Total respiratory resistance (Rrs) was studied by the forced oscillation technique at a frequency of 3 cps in 76 normal subjects (36 men, 40 women), ages 21 to 64 years. Slopes (equivalent to specific conductance) assuming a linear relationship with zero intercept between 1/Rrs and thoracic gas volume (TGV) were compu...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:

    authors: Jiemsripong K,Hyatt RE,Offord KP

    更新日期:1976-09-01 00:00:00

  • A clinical update on chronic lymphocytic leukemia. I. Diagnosis and prognosis.

    abstract::B-cell chronic lymphocytic leukemia (B-CLL) is a relatively indolent hematologic malignant disease that, despite a good response to nonaggressive orally administered chemotherapy, currently remains incurable. The overall median duration of survival is more than 5 years, and the presence of anemia or thrombocytopenia a...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章,评审

    doi:10.1016/s0025-6196(12)61551-1

    authors: Tefferi A,Phyliky RL

    更新日期:1992-04-01 00:00:00

  • 3. The laboratory investigation of monoclonal gammopathies.

    abstract::The monoclonal gammopathies are a group of disorders characterized by proliferation of a single clone of plasma cells that produce a homogeneous, monoclonal (M) protein. The structure of immunoglobulins, relationship of normal (polyclonal) immunoglobulins to myeloma and macroglobulin (monoclonal) immunoglobulins, patt...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:

    authors: Kyle RA,Greipp PR

    更新日期:1978-11-01 00:00:00

  • Recently developed elastomers for facial prostheses.

    abstract::Ever since ancient times, man has been searching for the proper artificial substitute for living tissue. This has been a most frustrating and challenging task for the scientific community involved. Prosthetic restoration is the only alternative to reconstructive surgery for the facially deformed. This paper reviews th...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:

    authors: Gonzalez JB

    更新日期:1978-07-01 00:00:00

  • Differences in Health Care Utilization in the Year Before Suicide Death: A Population-Based Case-Control Study.

    abstract:OBJECTIVE:To compare health care usage between suicide decedents and living controls in the year before suicide in a large representative US population. PATIENTS AND METHODS:Cases (n=1221) and controls (n=3663) belonged to an integrated health care system from January 1, 2009, through December 31, 2014. Cases and cont...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:10.1016/j.mayocp.2019.04.037

    authors: Chock MM,Lin JC,Athyal VP,Bostwick JM

    更新日期:2019-10-01 00:00:00

  • Low back pain patients in a psychiatric population.

    abstract::Thirty-one patients with low back pain resistant to medical and surgical treatment were studied. On admission to the psychiatric service, these patients revealed apparent features of conversion and hysterical personality, as characterized also by the MMPI profile. During hospitalization, however, there was increased a...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:

    authors: Maruta T,Swanson DW,Swenson WM

    更新日期:1976-01-01 00:00:00

  • Adult-Onset Hypogonadism.

    abstract::In August 2015, an expert colloquium commissioned by the Sexual Medicine Society of North America (SMSNA) convened in Washington, DC, to discuss the common clinical scenario of men who present with low testosterone (T) and associated signs and symptoms accompanied by low or normal gonadotropin levels. This syndrome is...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章,评审

    doi:10.1016/j.mayocp.2016.04.022

    authors: Khera M,Broderick GA,Carson CC 3rd,Dobs AS,Faraday MM,Goldstein I,Hakim LS,Hellstrom WJ,Kacker R,Köhler TS,Mills JN,Miner M,Sadeghi-Nejad H,Seftel AD,Sharlip ID,Winters SJ,Burnett AL

    更新日期:2016-07-01 00:00:00

  • Use of a simple clinical score to predict prognosis of patients with normal or mildly abnormal resting electrocardiographic findings undergoing evaluation for coronary artery disease.

    abstract:OBJECTIVE:To determine whether a simple clinical score, which was shown previously to predict the likelihood of severe coronary artery disease (CAD) in patients referred for coronary angiography, could predict prognosis in a separate cohort of patients with normal or mildly abnormal findings on their resting electrocar...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:10.4065/77.6.515

    authors: Ho KT,Miller TD,Hodge DO,Bailey KR,Gibbons RJ

    更新日期:2002-06-01 00:00:00

  • Evaluation of a quantitative D-dimer latex immunoassay for acute pulmonary embolism diagnosed by computed tomographic angiography.

    abstract:OBJECTIVE:To determine the sensitivity and specificity of a quantitative plasma fibrin D-dimer latex immunoassay (LIA) for the diagnosis of acute pulmonary embolism. SUBJECTS AND METHODS:Study subjects were Mayo Clinic Rochester inpatients and outpatients with suspected acute pulmonary embolism; all had undergone quan...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:10.4065/82.5.556

    authors: Froehling DA,Daniels PR,Swensen SJ,Heit JA,Mandrekar JN,Ryu JH,Elkin PL

    更新日期:2007-05-01 00:00:00

  • Recurrence of Susac syndrome (retinocochleocerebral vasculopathy) after remission of 18 years.

    abstract::Susac syndrome (retinocochleocerebral vasculopathy) is a syndrome of unknown pathogenesis. The triad of multifocal encephalopathy, visual loss, and hearing loss is caused by microangiopathy of the brain, retina, and cochlea. The illness tends to be monophasic, and to our knowledge, recurrence after years of remission ...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:10.4065/76.9.958

    authors: Petty GW,Matteson EL,Younge BR,McDonald TJ,Wood CP

    更新日期:2001-09-01 00:00:00

  • Colonic tone and motility in patients with irritable bowel syndrome.

    abstract::In this study, our aim was to test the hypothesis that colonic tone is abnormal in patients with irritable bowel syndrome (IBS). We studied eight patients with IBS and eight age-matched asymptomatic control subjects, in whom tone and motility were measured by an electronic barostat and by pneumohydraulic perfusion man...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:10.1016/s0025-6196(12)60796-4

    authors: Vassallo MJ,Camilleri M,Phillips SF,Steadman CJ,Talley NJ,Hanson RB,Haddad AC

    更新日期:1992-08-01 00:00:00

  • An unusual compressive syndrome of the cauda equina.

    abstract::An unusual case of a capillary hemangioma of the filum terminale is presented. The successful removal returned the patient to an asymptomatic state. ...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:

    authors: Freeman RE,Onofrio BM,Layton DD Jr

    更新日期:1975-03-01 00:00:00

  • Discriminate value of esophageal symptoms: a study of the initial clinical findings in 499 patients with dysphagia of various causes.

    abstract::The aim of this study was to determine whether the characteristics of esophageal symptoms may be of diagnostic utility in distinguishing dysphagia of various causes. Included in the study were a total of 499 patients with three types of dysphagia: 234 with dysphagia related to an obstructive lesion in the esophagus, 1...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:10.1016/s0025-6196(12)62266-6

    authors: Kim CH,Weaver AL,Hsu JJ,Rainwater L,Zinsmeister AR

    更新日期:1993-10-01 00:00:00

  • Progress in the diagnosis and management of aortic dissection.

    abstract::A 36-year-old man sought medical attention because of pressure in his head and distention of the veins in his neck. Physical examination disclosed a murmur of aortic insufficiency, and a chest roentgenogram showed a dilated ascending aorta. Two-dimensional echocardiography and angiography demonstrated a large intimal ...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:10.1016/s0025-6196(12)65202-1

    authors: Cooke JP,Safford RE

    更新日期:1986-02-01 00:00:00

  • Pretruncal nonaneurysmal subarachnoid hemorrhage.

    abstract:OBJECTIVE:To review the diagnostic evaluation and the clinical course of patients with pretruncal nonaneurysmal subarachnoid hemorrhage. MATERIAL AND METHODS:The study population consisted of a consecutive series of patients with a pretruncal nonaneurysmal subarachnoid hemorrhage encountered at Mayo Clinic Rochester d...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:10.4065/73.8.745

    authors: Wijdicks EF,Schievink WI,Miller GM

    更新日期:1998-08-01 00:00:00

  • Allergen immunotherapy.

    abstract::Allergen immunotherapy involves exposing a patient to a gradually escalating dose of a specific allergen with the intention of decreasing allergic and inflammatory responses, ultimately leading to a sustained decrease in allergic symptoms. A build-up phase (once weekly injections) is followed by a maintenance phase (o...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:10.4065/82.9.1119

    authors: Rank MA,Li JT

    更新日期:2007-09-01 00:00:00

  • Lymphoma associated with human immunodeficiency virus infection.

    abstract:OBJECTIVE:To describe lymphoma associated with human immunodeficiency virus (HIV) infection. DESIGN:A review of HIV-related lymphoma and its associated epidemiology, etiopathogenesis, and clinicopathologic characteristics is presented. Major studies of therapeutic regimens for HIV-related lymphoma are discussed. Facto...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章,评审

    doi:10.4065/70.7.665

    authors: Wang CY,Snow JL,Su WP

    更新日期:1995-07-01 00:00:00

  • Effect of Race on the Incidence of Aortic Stenosis and Outcomes of Aortic Valve Replacement in the United States.

    abstract:OBJECTIVE:To assess the effect of race on the incidence of aortic stenosis (AS) and utilization and outcomes of aortic valve replacement (AVR). PATIENTS AND METHODS:Patients older than 60 years hospitalized with a primary diagnosis of AS and those who underwent AVR between 2003 and 2014 were included. Adjusted and una...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:10.1016/j.mayocp.2017.11.026

    authors: Alqahtani F,Aljohani S,Amin AH,Al-Hijji M,Ali OO,Holmes DR,Alkhouli M

    更新日期:2018-05-01 00:00:00

  • Alterations in blood pressure by derangement of the mechanisms that regulate sodium excretion.

    abstract::Understanding the sequence of events responsible for pressure-related natriuresis and their pathophysiologic alterations may be useful in distinguishing various types of essential hypertension of renal origin. The perturbation of a distal step in the sequence is likely to be reflected in a simple physiologic defect. F...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章,评审

    doi:10.1016/s0025-6196(12)65384-1

    authors: Romero JC,Bentley MD,Textor SC,Knox FG

    更新日期:1989-11-01 00:00:00

  • A prospective randomized trial comparing stenting to internal mammary artery grafting for proximal, isolated de novo left anterior coronary artery stenosis: the SIMA trial. Stenting vs Internal Mammary Artery.

    abstract:OBJECTIVE:To compare coronary artery bypass grafting (CABG) with percutaneous transluminal coronary angioplasty (PTCA) in patients with proximal, isolated de novo left anterior descending coronary artery disease and left ventricular ejection fraction of 45%. PATIENTS AND METHODS:In the multicenter Stenting vs Internal...

    journal_title:Mayo Clinic proceedings

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.4065/75.11.1116

    authors: Goy JJ,Kaufmann U,Goy-Eggenberger D,Garachemani A,Hurni M,Carrel T,Gaspardone A,Burnand B,Meier B,Versaci F,Tomai F,Bertel O,Pieper M,de Benedictis M,Eeckhout E

    更新日期:2000-11-01 00:00:00

  • Benefits and risks of long-term amiodarone therapy for persistent atrial fibrillation: a meta-analysis.

    abstract:OBJECTIVE:To assess whether amiodarone, as part of a strategy to achieve sinus rhythm, is safe and effective compared with a placebo or rate control drug in patients with persistent atrial fibrillation (AF) of more than 30 days' duration. METHODS:Randomized controlled trials comparing amiodarone with a placebo or rate...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章,meta分析

    doi:10.1016/S0025-6196(11)61140-3

    authors: Doyle JF,Ho KM

    更新日期:2009-03-01 00:00:00

  • Diagnosis and treatment of viral myocarditis.

    abstract::Myocarditis, an inflammatory disease of heart muscle, is an important cause of dilated cardiomyopathy worldwide. Viral infection is also an important cause of myocarditis, and the spectrum of viruses known to cause myocarditis has changed in the past 2 decades. Several new diagnostic methods, such as cardiac magnetic ...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章,评审

    doi:10.1016/S0025-6196(11)60670-8

    authors: Schultz JC,Hilliard AA,Cooper LT Jr,Rihal CS

    更新日期:2009-11-01 00:00:00

  • Complications after unintentional intra-arterial injection of drugs: risks, outcomes, and management strategies.

    abstract::Unintentional intra-arterial injection of medication, either iatrogenic or self-administered, is a source of considerable morbidity. Normal vascular anatomical proximity, aberrant vasculature, procedurally difficult situations, and medical personnel error all contribute to unintentional cannulation of arteries in an a...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章,评审

    doi:10.1016/S0025-6196(11)61533-4

    authors: Sen S,Chini EN,Brown MJ

    更新日期:2005-06-01 00:00:00