Laparoscopic Excision of Duodenal Duplication Cyst in an Octogenarian: Case Report with a Review of Literature

Abstract

Duodenal duplication cysts (DDCs) are infrequent congenital malformations, comprising only 5%–7% of all gastrointestinal duplication cysts. They are most often identified in childhood, while adult presentation remains rare. Clinical features are usually vague, making preoperative diagnosis difficult. Surgical excision is generally advised to avoid sequelae such as obstruction, hemorrhage, pancreatitis, or malignant change. Although technically challenging due to the close relationship with the biliopancreatic system, minimally invasive techniques have increasingly been described in adult patients. We describe the laparoscopic management of a DDC in an 87-year-old female—representing only the fifth such report in English-language literature over the past 15 years.