Gastric Duplication Cysts in Adults: A Report of Three Cases

Kim, Su Mi; Ha, Man Ho; Seo, Jin‐Hee; Kim, Ji Eun; Min, Byung Hoon; Choi, Min Gew; Lee, Jun Haeng; Kim, Kyung Mi; Choi, Dong Il; Sohn, Tae Sung; Bae, Jae Moon; Kim, Jae Jun; Kim, Sung Hoon; Lee, Jun Ho

doi:10.5230/jgc.2015.15.1.58

Cited by 17 publications

(20 citation statements)

References 19 publications

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“…Other symptoms reported are epigastric discomfort or pain and persistent cough with hemoptysis [ 3 , 6 , 7 , 9 ]. Most cases in adults are asymptomatic and diagnosed incidentally [ 11 , 12 ]. In the present case, the FDC was an incidental finding, as the patient did not have any associated symptoms, and it was discovered as part of the presurgical diagnostic workup for his unrelated esophageal carcinoma.…”

Section: Discussionmentioning

confidence: 99%

Foregut Duplication Cyst of the Stomach: A Case Report and Review of the Literature

Tjendra

Lyapichev

Henderson

et al. 2016

Case Reports in Pathology

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Duplication cyst of the stomach is a rare congenital malformation, typically diagnosed in the first year of life. In most adult cases the cyst remains asymptomatic, but patients may present with abdominal symptoms including epigastric discomfort or pain. We present a case of a 65-year-old male with an asymptomatic gastric tumor diagnosed incidentally during initial workup of his esophageal adenocarcinoma. Computed tomography revealed a low density soft tissue tumor near the gastroesophageal junction. Endoscopic ultrasonography demonstrated a cystic lesion as a hypoechoic round mass with well-defined borders. Following complete laparoscopic resection, microscopic review revealed a cyst lined with respiratory pseudostratified ciliated columnar epithelium and layers of smooth muscle with an outermost thin fibrous capsule consistent with a foregut duplication cyst.

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Section: Discussionmentioning

confidence: 99%

Foregut Duplication Cyst of the Stomach: A Case Report and Review of the Literature

Tjendra

Lyapichev

Henderson

et al. 2016

Case Reports in Pathology

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“…Owing to the extremely variable presentation, the role of CT, endoscopic ultrasonography and magnetic resonance imaging is important in diagnosing GDCs and their complications . In this case, CT has been a suitable method for recognition of the lesion among other submucosal gastric cysts particularly gastrointestinal stromal tumours, and among cysts arising from the adjacent organs such as pancreatic pseudocyst, pancreatic mucinous cystadenoma, simple, neoplastic or hydatid cysts of the left hepatic lobe, biliary cysts, and splenic cysts . Cystectomy or partial gastrectomy using an open or a laparoscopic approach is often the preferred treatment for patients with GDCs.…”

Section: Discussionmentioning

confidence: 99%

“…Rarely encountered in adults, the majority of GDCs are incidental finding in clinical settings, and symptoms if present, are nonspecific complaints . Complications of duplication include infection, obstruction, haemorrhage, malignant changes into carcinoma, peptic ulcer, and fistula formation .…”

Section: Introductionmentioning

confidence: 99%

“…2 Rarely encountered in adults, the majority of GDCs are incidental finding in clinical settings, and symptoms if present, are nonspecific complaints. 3 Complications of duplication include infection, obstruction, haemorrhage, malignant changes into carcinoma, peptic ulcer, and fistula formation. 1,2 Fistulizations to the pancreas with recurrent pancreatitis, gallbladder, small intestine, peritoneal cavity, and abdominal wall were previously reported.…”

Section: Introductionmentioning

confidence: 99%

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

Berri

Mazouzi

2020

Surgical Practice

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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.

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confidence: 99%

Gastric Duplication Cyst as an Unusual Cause of Gastric Outlet Obstruction in an Adult

Shah¹

2017

Clin Med Img Lib

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DiscussionGastric duplication cysts, rarely diagnosed in adults, and often discovered incidentally on imaging, were first reported in 1911 [1]. They are congenital abnormalities, and account for 2-4% of gastrointestinal tract duplication cysts [2]. They may present with non-spe- Case ReportThe patient is a 29-year-old man with no significant medical or surgical history who presented with 2 months of nausea, emesis, and 20 pounds of unintentional weight loss. On initial presentation, he was afebrile with normal vital signs. His abdomen was soft, non-distended and non-tender. Initial laboratory parameters revealed a hypokalemic, hypochloremic metabolic alkalosis consistent with a clinical picture of gastric outlet obstruction. Computed Tomography (CT) of the abdomen and pelvis (Figure 1) revealed a 3.5 × 4.9 cm cyst proximal to the pylorus, suggestive of a gastric duplication cyst, causing a gastric outlet obstruction. Endoscopy demonstrated a large pre-pyloric mass without noted mucosal abnormality or luminal connection, likely responsible for the gastric outlet obstruction (Figure 2). Antral biopsies revealed mild chronic inflammation and mild foveolar hyperplastic changes. Given gastric outlet obstruction as well as imaging suggestive of a duplication cyst, the patient was taken to the operating room and underwent robotic assisted laparoscopic distal gastrectomy with Billroth 2 gastrojejunostomy for a suspected gastric duplication cyst (Figure 3

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Gastric Duplication Cysts in Adults: A Report of Three Cases

Cited by 17 publications

References 19 publications

Foregut Duplication Cyst of the Stomach: A Case Report and Review of the Literature

Foregut Duplication Cyst of the Stomach: A Case Report and Review of the Literature

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

Gastric Duplication Cyst as an Unusual Cause of Gastric Outlet Obstruction in an Adult

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