A 3-year-old female child with a history of intermittent abdominal pain and postprandial vomiting presented with fever, vomiting, and abdominal pain. The epigastrium was mildly sensitive on examination. Laboratory studies showed elevated leukocyte count (13 000/L), amylase (667 U/L), and lipase (2332 U/L). Abdominal CT showed pancreatitis with a cystic lesion repressing the pancreatic head. The radiographs were taken after drinking gastrointestinal contrast medium and showed ovoid filling defect on the medial aspect of the descending duodenum (figure 1A). Magnetic resonance cholangiopancreatography (MRCP) suggested the diagnosis of a duodenal duplication (DD) measuring 4 cm×3.2 cm repressing the Vater-ampulla (figure 1B). The patient operated with the resolution of symptoms. Surgery was decided to prevent recurrences of …

中文翻译：

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儿童急性胰腺炎十二指肠重复

一名有间歇性腹痛和餐后呕吐病史的 3 岁女童因发热、呕吐和腹痛就诊。检查时上腹轻度敏感。实验室研究显示白细胞计数 (13 000/L)、淀粉酶 (667 U/L) 和脂肪酶 (2332 U/L) 升高。腹部 CT 显示胰腺炎伴囊性病变压迫胰头。X 线片是在饮用胃肠道造影剂后拍摄的，显示十二指肠降部内侧呈卵圆形充盈缺损（图 1A）。磁共振胰胆管造影 (MRCP) 建议诊断为 4 cm×3.2 cm 的十二指肠重复 (DD)，压迫壶腹（图 1B）。患者在症状消退后进行了手术。决定手术以防止...的复发