Duodenal Duplication Cyst in Close Proximity of Ampulla of Vater: A Surgical Challenge

Prompt preoperative diagnosis of duodenalduplication cyst is uncommon owing to its extreme rarity. The ideal treatment of intestinal duplication cyst is complete surgical excision, though in few cases, due to the proximity to the bilio- pancreatic duct, the complete excisionis not possible. We herein present an infant presenting with bilious vomiting starting few days after birth. Ultrasonography and CT scan provided the diagnosis of the duplication cyst in relation to duodenum. A successful surgical management by a subtotal excisionwas done. Although duodenalduplication is seldom seen, it should be considered in differential diagnoses of upper gastrointestinal tract (GIT) occlusion.