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. 2013:2013:605059.
doi: 10.1155/2013/605059. Epub 2013 Feb 19.

Gastric duplication cyst: two case reports and review of the literature

Jai P Singh  1 , Heena Rajdeo, Kalyani Bhuta, John A Savino
Affiliations

Gastric duplication cyst: two case reports and review of the literature

Jai P Singh et al. Case Rep Surg. 2013.

Abstract

Background. Duplication of the alimentary tract is a rare congenital anomaly. Gastric duplication cysts (GDCs) represent 4% of all alimentary tract duplications, and approximately 67% manifest within the first year of life. Duplication cysts in adults are generally encountered as incidental findings at endoscopy or laparotomy. Herein, we report two rare cases of symptomatic GDC presenting in adults. Case 1. A 27-year-old male presented with a five-month history of back pain. Exam revealed mild epigastric tenderness with a vague palpable mass in left upper abdomen. CT scan showed 8 × 7.4 × 6 cm homogenous, nonseptated cystic mass posterosuperior to pancreatic tail. On laparotomy, a cystic mass measuring 11 × 8 cm was found, which was densely adherent to posterior wall of stomach suggestive of GDC. Case 2. A 28-year-old woman presented with epigastric pain associated with vomiting for 2 months. Exam revealed mild epigastric tenderness. CT scan showed four cystic lesions in the medial wall of distal stomach measuring approximately one cm each suggestive of duplication cysts. Exploratory laparotomy with antrectomy and truncal vagotomy with Billroth II reconstruction were performed. Pathology in both patients was diagnostic of GDC. Conclusion. GDC is a rare anomaly, and its presentation in adults is even rarer.

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Figures

Figure 1
Figure 1
CT scan showing 8 × 7.4 × 6 cm homogenous, nonseptated cystic mass posterosuperior to pancreatic tail.
Figure 2
Figure 2
Inner surface of specimen was smooth and white-pink in color with a 1.5 × 1.2 cm rough area.
Figure 3
Figure 3
Photomicrograph: cyst wall was composed of mucosa, submucosa, and muscularis propria. The mucosa was predominantly a gastric body type with patchy intervening areas of simple columnar epithelium containing apical mucus and cilia seen in embryonic intestinal epithelium.
Figure 4
Figure 4
CT scan demonstrated four cystic lesions in the medial wall of distal antrum and pylorus measuring approximately one cm each, suggestive of duplication cysts.
Figure 5
Figure 5
Photomicrograph: cyst wall was composed of mucosa, submucosa, and muscularis propria. Mucosa was predominantly of gastric type with small islands of pancreatic acini.
See this image and copyright information in PMC

References

    1. Kuraoka K, Nakayama H, Kagawa T, Ichikawa T, Yasui W. Adenocarcinoma arising from a gastric duplication cyst with invasion to the stomach: a case report with literature review. Journal of Clinical Pathology. 2004;57(4):428–431. - PMC - PubMed
    1. Maeda H, Okabayashi T, Nishimori I, et al. Diagnostic challenge to distinguish gastric duplication cyst from pancreatic cystic lesions in adult. Internal Medicine. 2007;46(14):1101–1104. - PubMed
    1. Theodosopoulos T, Marinis A, Karapanos K, et al. Foregut duplication cysts of the stomach with respiratory epithelium. World Journal of Gastroenterology. 2007;13(8):1279–1281. - PMC - PubMed
    1. Johnston J, Wheatley GH, El Sayed HF, Marsh WB, Ellison EC, Bloomston M. Gastric duplication cysts expressing carcinoembryonic antigen mimicking cystic pancreatic neoplasms in two adults. American Surgeon. 2008;74(1):91–94. - PubMed
    1. Kim DH, Kim JS, Nam ES, Shin HS. Foregut duplication cyst of the stomach. Pathology International. 2000;50(2):142–145. - PubMed

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