A retroperitoneal supra-adrenal non-communicating gastric duplication cyst: a case report and comprehensive literature review

Abstract

Background Gastric duplication cyst is a rare congenital anomaly. It is usually located in close proximity to the stomach. Nevertheless, there have been seldom reports in the literature that describe unusual locations. Retroperitoneal gastric duplications cysts are extremely rare and are usually confused with renal or adrenal cysts. Case presentation In this case report, we are presenting a 2-year-old girl with a complaint of bouts of abdominal pain, found to have a retroperitoneal supra-adrenal cyst on imaging. She underwent laparoscopic resection of the cyst with uneventful post-operative course. The histopathological diagnosis was surprisingly gastric duplication cyst. Conclusion In our review of the literature, the variability of this condition and its clinical manifestation are apparent. We also conclude that this diagnostic entity should be part of the differential diagnosis of intraperitoneal or retroperitoneal cysts and that laparoscopic resection of retroperitoneal cysts is the preferred approach.

Delayed Presenting Gastric Duplication Cyst Mimicking a Left Adrenal Cyst in a Young Female: A Case Report with a Literature Review

“…Despite all of that, the mimicking of GDCs as an adrenal mass has rarely been reported [3]. Al Awfi et al [3] reported a case of a 2-year-old girl with abdominal pain.…”

“…Despite all of that, the mimicking of GDCs as an adrenal mass has rarely been reported [3]. Al Awfi et al [3] reported a case of a 2-year-old girl with abdominal pain. The preoperative diagnosis based on imaging suggested a retroperitoneal supra-adrenal cyst.…”

“…Its association with ectopic tissues of gastrointestinal organs or mimicking other anomalies, such as lymphangiomas, has also been reported [4, 6]. GDC simulating an adrenal cyst, on the other hand, is an exceedingly rare incidence [3, 7, 8]. Herein, we report a case of GDC in a young female mimicking an adrenal cyst.…”

“…Gastric duplication cyst (GDC) is a rare congenital anomaly of the gastrointestinal tract (GIT), which comprises only 4% of GIT duplications [1]. It is a globular muscular structure with all gastric layers, found anywhere along the GIT, communicating with or without the organ of origin [2,3]. This anomaly is primarily diagnosed in childhood, often within the first year of life, but may go undetected until adulthood [2,4].…”

“…Herein, we report a case of GDC in a young female mimicking an adrenal cyst. Additionally, we reviewed several similar cases in the literature (Table 1) [3,[7][8][9]. The study has been written according to the CARE checklist, and all references have been checked to avoid citing non-peer-reviewed information [10,11].…”