Gastric duplication cyst fistulized with the colon in an adult: A case report

Abstract

Gastric duplication cyst is uncommon congenital malformation rarely seen in the adult population. Although complications related to duplication such as infection, haemorrhage, obstruction, and fistula formation with neighbouring structures had been previously reported, fistulization into the colon in adult has been previously never described to our knowledge. In this study, we present the case of a 36‐year‐old male patient with moderate mental retardation who presented with 10 months history of progressive abdominal pain, nausea, vomiting, and important weight loss. Clinical assessment and radiological investigations demonstrated the presence of non‐communicating gastric duplication cyst inserted on the greater curvature of the antrum and fistulized into the transverse colon. At laparotomy, the cyst was completely excised and the colon containing the fistula was resected with colo‐colonic anastomosis. Pathology confirmed gastric duplication and demonstrated that the inner surface of the cyst was lined by gastric type mucosa. The patient had an uneventful recovery and after 3 months of follow‐up, all symptoms disappeared. Also, he gained 11 kg in weight. This case highlights, therefore, the fact that all gastric duplication cysts should be removed in order to avoid the risk of serious complications.

Complicated gastric duplication cyst presenting as cystic intraperitoneal collection: a case report

“…The gastric duplication cyst after perforation may either cause peritonitis [1] or it may develop fistulous communication with the structures in the vicinity. The fistulous communications are reported with the colon, pancreas, spleen, anterior abdominal wall, and lower lobe of the left lung through the diaphragm [9][10][11][12][13][14][15]. Interestingly, 2 cases of pseudocysts formation are also reported as a complication of perforated gastric duplication cyst [4,16].…”

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

“…Some scholars also recommended surgery for asymptomatic cases due to the potential for neoplastic transformation [12,19]. Partial gastrectomy or cystectomy, whether through open surgery or laparoscopy, is often the preferred approach for managing patients with GDC [20]. Laparotomy has also been suggested for the management of complicated GDCs [13].…”

Clinical Characteristics of Gastric Duplication in Children

“…At present, the diagnosis of GD still requires surgical exploration combined with pathological examination. Considering that GD may be accompanied by serious complications such as bleeding, perforation, obstruction, and malignant transformation, most studies suggest that once a GD is diagnosed, it should be removed as soon as possible ( 4 – 6 ). This study retrospectively analyzed the clinical data of 17 cases of GD in our hospital from July 2015 to June 2021 and reviewed relevant literature to explore the characteristics of clinical manifestations, diagnosis and treatment of GD in children to reduce the preoperative misdiagnosis rate and to improve the level of diagnosis and treatment of this disease.…”