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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Main Authors: Jai P. Singh, Heena Rajdeo, Kalyani Bhuta, John A. Savino
Format: Article
Language:English
Published: Wiley 2013-01-01
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.
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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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