Gastric Duplication Cyst: Two Case Reports and Review of the Literature
Background. Duplication of the alimentary tract is a rare congenital anomaly. Gastric duplication cysts (GDCs) represent 4% of all alimentary tract duplications, and approximately 67% manifest within the first year of life. Duplication cysts in adults are generally encountered as incidental findings...
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Language: | English |
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Wiley
2013-01-01
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Series: | Case Reports in Surgery |
Online Access: | http://dx.doi.org/10.1155/2013/605059 |
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author | Jai P. Singh Heena Rajdeo Kalyani Bhuta John A. Savino |
author_facet | Jai P. Singh Heena Rajdeo Kalyani Bhuta John A. Savino |
author_sort | Jai P. Singh |
collection | DOAJ |
description | Background. Duplication of the alimentary tract is a rare congenital anomaly. Gastric duplication cysts (GDCs) represent 4% of all alimentary tract duplications, and approximately 67% manifest within the first year of life. Duplication cysts in adults are generally encountered as incidental findings at endoscopy or laparotomy. Herein, we report two rare cases of symptomatic GDC presenting in adults. Case 1. A 27-year-old male presented with a five-month history of back pain. Exam revealed mild epigastric tenderness with a vague palpable mass in left upper abdomen. CT scan showed 8 × 7.4 × 6 cm homogenous, nonseptated cystic mass posterosuperior to pancreatic tail. On laparotomy, a cystic mass measuring 11 × 8 cm was found, which was densely adherent to posterior wall of stomach suggestive of GDC. Case 2. A 28-year-old woman presented with epigastric pain associated with vomiting for 2 months. Exam revealed mild epigastric tenderness. CT scan showed four cystic lesions in the medial wall of distal stomach measuring approximately one cm each suggestive of duplication cysts. Exploratory laparotomy with antrectomy and truncal vagotomy with Billroth II reconstruction were performed. Pathology in both patients was diagnostic of GDC. Conclusion. GDC is a rare anomaly, and its presentation in adults is even rarer. |
format | Article |
id | doaj-art-471931c87ef94706b8d2d72818b5ac76 |
institution | Kabale University |
issn | 2090-6900 2090-6919 |
language | English |
publishDate | 2013-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Surgery |
spelling | doaj-art-471931c87ef94706b8d2d72818b5ac762025-02-03T05:59:14ZengWileyCase Reports in Surgery2090-69002090-69192013-01-01201310.1155/2013/605059605059Gastric Duplication Cyst: Two Case Reports and Review of the LiteratureJai P. Singh0Heena Rajdeo1Kalyani Bhuta2John A. Savino3Department of Surgery, Westchester Medical Center, New York Medical College, Valhalla, NY 10595, USADepartment of Surgery, Westchester Medical Center, New York Medical College, Valhalla, NY 10595, USADepartment of Surgery, Westchester Medical Center, New York Medical College, Valhalla, NY 10595, USADepartment of Surgery, Westchester Medical Center, New York Medical College, Valhalla, NY 10595, USABackground. Duplication of the alimentary tract is a rare congenital anomaly. Gastric duplication cysts (GDCs) represent 4% of all alimentary tract duplications, and approximately 67% manifest within the first year of life. Duplication cysts in adults are generally encountered as incidental findings at endoscopy or laparotomy. Herein, we report two rare cases of symptomatic GDC presenting in adults. Case 1. A 27-year-old male presented with a five-month history of back pain. Exam revealed mild epigastric tenderness with a vague palpable mass in left upper abdomen. CT scan showed 8 × 7.4 × 6 cm homogenous, nonseptated cystic mass posterosuperior to pancreatic tail. On laparotomy, a cystic mass measuring 11 × 8 cm was found, which was densely adherent to posterior wall of stomach suggestive of GDC. Case 2. A 28-year-old woman presented with epigastric pain associated with vomiting for 2 months. Exam revealed mild epigastric tenderness. CT scan showed four cystic lesions in the medial wall of distal stomach measuring approximately one cm each suggestive of duplication cysts. Exploratory laparotomy with antrectomy and truncal vagotomy with Billroth II reconstruction were performed. Pathology in both patients was diagnostic of GDC. Conclusion. GDC is a rare anomaly, and its presentation in adults is even rarer.http://dx.doi.org/10.1155/2013/605059 |
spellingShingle | Jai P. Singh Heena Rajdeo Kalyani Bhuta John A. Savino Gastric Duplication Cyst: Two Case Reports and Review of the Literature Case Reports in Surgery |
title | Gastric Duplication Cyst: Two Case Reports and Review of the Literature |
title_full | Gastric Duplication Cyst: Two Case Reports and Review of the Literature |
title_fullStr | Gastric Duplication Cyst: Two Case Reports and Review of the Literature |
title_full_unstemmed | Gastric Duplication Cyst: Two Case Reports and Review of the Literature |
title_short | Gastric Duplication Cyst: Two Case Reports and Review of the Literature |
title_sort | gastric duplication cyst two case reports and review of the literature |
url | http://dx.doi.org/10.1155/2013/605059 |
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