Gastric duplication cyst: Evaluation by endoscopic ultrasonography and magnetic resonance imaging

Takahara, Takashi; Torigoe, Toshihiko; Haga, Hiromitsu; Yoshida, Hitoshi; Takeshima, Shinji; Sano, Shinji; Ishii, Yoshifumi; Furuya, Takashi; Nakamura, Eishu; Ishikawa, Masahisa

doi:10.1007/bf02355033

Cited by 49 publications

(38 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Although upper gastrointestinal series demonstrate external pressure on the stomach, preoperative workup mainly includes abdominal ultrasonography and computed tomography scans, as well as endoscopic ultrasonography and magnetic resonance imaging [15,16] . Due to malignant transformation and the report of gastric cancer arising in duplications of the stomach [17] , surgical excision is considered to be the best treatment.…”

Section: Discussionmentioning

confidence: 99%

Foregut duplication cysts of the stomach with respiratory epithelium

Theodosopoulos

Marinis²,

Karapanos³

et al. 2007

WJG

View full text Add to dashboard Cite

spherical hollow structure with a smooth muscle coat, lined by a mucous membrane and attached to any part of the gastrointestinal (GI) tract from the base of the tongue to the anus [1] . These malformations are believed to be congenital and are formed before differentiation of the lining epithelium and, therefore, are named for the organs with which they are associated [2] . Foregut duplications may or may not communicate with the GI tract and usually are diagnosed in a younger age; in adults non-specific symptoms delay diagnosis, which is established during surgical exploration [3] . Herein, two gastric duplication cysts with respiratory epithelium are reported. CASE REPORTA 46-year-old female patient was admitted to our Surgical Department from another medical center, where the patient was evaluated for an episode of loss of consciousness. Past medical history, present status and physical examination were non disease-specific. Diagnostic workup included an abdominal computed tomography (CT) which demonstrated a cystic lesion measuring 6 cm × 6 cm × 7 cm attached to the posterior wall of the gastric fundus, was well circumscribed and had no contrast enhancement ( Figure 1). Interestingly CT coronary sections revealed a pulmonary sequestration in the basal segment of the left lower lobe (Figure 2). Moreover, upper GI endoscopy showed a bulging deformation of the gastric fundus by an extrinsic mass, without any mucosal abnormalities. An exploratory laparotomy was performed and revealed two cystic lesions; the first was attached to the fundus of the stomach and the second was embedded within the gastrosplenic ligament, close to the spleen. Therefore, intact excision of both cysts and splenectomy were carried out. Postoperative course was uneventful and the patient has been asymptomatic since then.Pathologic examination of the surgical specimens reported a large cyst, measuring 8 cm × 5.5 cm in diameter and 0.3 cm thick and a smaller cyst (removed from the gastrosplenic ligament), measuring 3 cm in diameter and 0.2 cm thick. Both consisted of a smooth muscular wall, were lined by a pseudostratified, ciliated and columnar (respiratory type) epithelium and contained a clear, gelatinous fluid. Sub-epithelium seromucous glands were microscopically identified (Figure 3), a histologic appearance reminiscent of bronchial wall; however no cartilage was present. CASE REPORT Foregut duplication cysts of the stomach with respiratory epithelium AbstractGastrointestinal duplication is a congenital rare disease entity. Gastric duplication cysts seem to appear even more rarely. Herein, two duplications cysts of the stomach in a 46 year-old female patient are presented.Abdominal computed tomography demonstrated a cystic lesion attached to the posterior aspect of the gastric fundus, while upper gastrointestinal endoscopy was negative. An exploratory laparotomy revealed a non-communicating cyst and a smaller similar cyst embedded in the gastrosplenic ligament. Excision of both cysts along with the spleen was performed and pathology...

show abstract

Section: Discussionmentioning

confidence: 99%

Foregut duplication cysts of the stomach with respiratory epithelium

Theodosopoulos

Marinis²,

Karapanos³

et al. 2007

WJG

View full text Add to dashboard Cite

show abstract

“…Also, US clearly revealed that the gastric duplication was contiguous with the gastric wall through the fourth hypoechoic layer corresponding to the muscle layer. Although endoscopic ultrasonographic findings of a gastric duplication cyst adjacent to the fourth layer of the stomach wall have been reported [17], in the present case, findings of the gastric duplication cyst adjacent to the fourth layer of the stomach wall could be clearly obtained with abdominal US. The fold-like structure of the cyst wall may be a finding specific to gastric duplication cysts.…”

Section: Discussionmentioning

confidence: 44%

A case of perforated multiple gastric duplication cysts with five-layered appearance on ultrasonography

et al. 2010

View full text Add to dashboard Cite

A case of perforated multiple gastric duplication cysts is presented. One of the gastric duplication cysts without perforation was seen on ultrasonography (US) with the following specific findings of gastric duplication cysts: a five-layered appearance, fold-like structures in the wall, and blood supply from the gastroepiploic artery. Other cysts with perforation presented with irregular and thin walls with a lack of the "double-wall sign" on US. These characteristic findings may be specific to perforated multiple gastric duplication cysts.

show abstract

“…Computed tomography often reveals a cystic mass associated with the alimentary tract. Magnetic resonance images as well as endoscopic ultrasonography are able to raise the suspicion for gastric duplication [11,12] and are popular methods of evaluating tumorous lesions along the upper GI tract. The diagnosis though is usually confirmed at laparotomy.…”

Section: Discussionmentioning

confidence: 99%