Early laparoscopic repair for blunt duodenal perforation in an adolescentDuodenal perforation secondary to blunt abdominal trauma in children is rare and usually associated with delays in diagnosis and surgical intervention. The authors encountered such a case in a 12-year-old boy owing to his falling over the handlebar of a bicycle. Imaging examination showed that there was a perforation over the fourth portion of the duodenum without concomitant injuries. Using a 5-port transperitoneal laparoscopic technique, primary closure of the perforation was successfully performed at 6 hours after the impact.
A retroperitoneal gastric duplication cyst mimicking a simple exophytic renal cyst in an adolescentGastric duplications are rare anomalies and usually occur along the greater curvature of the stomach. The authors herein describe an uncommon case of a retroperitoneal gastric duplication, which was not found during previous emergency laparotomy for suspected peritonitis at another institution. On subsequent computed tomography scan, the lesion was misinterpreted as a simple exophytic renal cyst. Laparoscopy was undertaken because of unresolved symptoms, and a retroperitoneal duplication cyst was successfully excised.