ASGE DDW Videos from Around the World | 2022-ENDOSCOPIC MARSUPIALIZATION OF A LARGE DUODENAL DUPLICATION CYST

ENDOSCOPIC MARSUPIALIZATION OF A LARGE DUODENAL DUPLICATION CYST

Video Transcription

Video Summary

This video summarizes a case of a 38-year-old female with morbid obesity who presented with hematemesis. An upper endoscopy revealed a large cystic mass in the second portion of the duodenum. Further imaging confirmed the presence of a bilobed cystic mass. Due to the patient's high surgical risk, a multidisciplinary approach was taken, and endoscopic marsupialization was performed. The procedure involved making an incision in the cyst, excising the cyst wall, and controlling mild bleeding with injection and endoscopic clips. Follow-up showed complete resolution of the cyst without recurrence. This case highlights the success of endoscopic marsupialization as a minimally invasive option for duodenal duplication cysts in high-risk patients. The primary author of the video is Danial Abbas. No financial disclosures were reported.

Keywords

obesity

hematemesis

upper endoscopy

duodenum

endoscopic marsupialization