Giant intra-abdominal cyst in a 13-year-old girl

Davenport, Mark; Awan, Safdar Hussain; Kane, P

doi:10.1007/s003830050624

Cited by 1 publication

(3 citation statements)

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“…However, none of these symptoms are specific for GD. In our study, the largest GD was found in a 13-year-old girl with the longest diameter of 40 cm on the greater curvature of the stomach, which was reported by M. Davenport in 1999 [ 43 ]. The symptom of this girl was gradual abdominal distention without abdominal pain and vomiting, and the lesion was successfully resected with uneventful recovery.…”

Section: Discussionsupporting

confidence: 69%

“…Clinical findings in patients with duplications include recurrent abdominal pain, vomiting, melena, abdominal distension, recurrent pancreatitis, weight loss, gastric outlet obstruction and failure to thrive, which is similar with the previous studies [ 1 , 27 ]. These symptoms may be caused by mucosal ulceration, increased pressure of GD cyst and pancreatic ducts involvement [ 43 , 44 ]. Symptoms of abdominal pain, weight loss and abdominal distension were seen more frequently in older patients, while vomiting and gastrointestinal hemorrhage were more common in pediatric patients.…”

Section: Discussionmentioning

confidence: 99%

“…We recommend that gastric duplication cysts should be excised whenever detected especially in adults even in asymptomatic cases. GD resection is the treatment of choice, but for those who with a common wall and dual blood supply may mean resection of a portion of the normal stomach [ 43 ]. Currently, there are no criteria to guide the choice of surgical strategies.…”

Section: Discussionmentioning

confidence: 99%

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Clinical features of gastric duplications: evidence from primary case reports and published data

Yang

et al. 2021

Orphanet J Rare Dis

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Background Alimentary tract duplications are rare congenital lesions, and only 2–8% of them are located in the stomach. Gastric duplications (GD) can lead to severe adverse events. Thus, surgical resection is required once the disease is diagnosed. The main purpose of this study is to describe the clinical features of gastric duplications and to provide evidence for the diagnosis and treatment. Methods A retrospective review of eight gastric duplications at two medical centers Peking University People’s Hospital (PKUPH) and Shandong Provincial Hospital from 2010 to 2020 was conducted. Furthermore, the literature search was also conducted by retrieving data from PubMed, EMBASE and Cochrane Library databases from the date of the database inception to January 15, 2021. Results Eight patients who were diagnosed as gastric duplications and 311 published records were included in this study. In all, 319 patients were identified: Vomiting and abdominal pain were the most frequent clinical presentations among juveniles and adults respectively. There was no difference in gender distribution (F: 53.16% vs M: 46.84%), and the cystic gastric duplications were the most common type of the gastric duplications (87.04%). More than half (53.30%) of included cases were located in the greater curvature of stomach. Conclusions Gastric duplications could present with a wide spectrum of symptomatology, which might be misdiagnosed easily as other diseases. For cystic gastric duplications, the optimal treatment was a complete surgical removal. But conservative treatment might be an alternative strategy for tubular gastric duplications.

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Section: Discussionsupporting

confidence: 69%