A Large Duplication Cyst of the Stomach in an Adult Presenting as Pancreatic Pseudocyst

Glaser, Christine; Kuzinkovas, V.; Maurer, Ch.; Glättli, A; Mouton, Wolfgang G.; Baer, H. U.

doi:10.1159/000018662

Cited by 24 publications

(13 citation statements)

References 20 publications

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“…There are anecdotal case reports in the literature. [1][2][3][4] However, there are only 12 case reports regarding endoscopic ultrasound-guided fine needle aspiration biopsy (EUS-FNAB) finding. 1,5,6 FDCs can occur anywhere in the alimentary tract, from tongue to anus, but the ileum is the most common site.…”

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confidence: 99%

Rare Potential Pitfall in Endoscopic Ultrasound–Guided Fine Needle Aspiration Biopsy in Gastric Duplication Cyst

Wang¹,

Hunter²,

Bin-Sagheer³

et al. 2009

Acta Cytologica

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confidence: 99%

Rare Potential Pitfall in Endoscopic Ultrasound–Guided Fine Needle Aspiration Biopsy in Gastric Duplication Cyst

Wang¹,

Hunter²,

Bin-Sagheer³

et al. 2009

Acta Cytologica

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Foregut duplication cysts of the stomach with respiratory epithelium

Theodosopoulos

Marinis²,

Karapanos³

et al. 2007

WJG

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spherical hollow structure with a smooth muscle coat, lined by a mucous membrane and attached to any part of the gastrointestinal (GI) tract from the base of the tongue to the anus [1] . These malformations are believed to be congenital and are formed before differentiation of the lining epithelium and, therefore, are named for the organs with which they are associated [2] . Foregut duplications may or may not communicate with the GI tract and usually are diagnosed in a younger age; in adults non-specific symptoms delay diagnosis, which is established during surgical exploration [3] . Herein, two gastric duplication cysts with respiratory epithelium are reported. CASE REPORTA 46-year-old female patient was admitted to our Surgical Department from another medical center, where the patient was evaluated for an episode of loss of consciousness. Past medical history, present status and physical examination were non disease-specific. Diagnostic workup included an abdominal computed tomography (CT) which demonstrated a cystic lesion measuring 6 cm × 6 cm × 7 cm attached to the posterior wall of the gastric fundus, was well circumscribed and had no contrast enhancement ( Figure 1). Interestingly CT coronary sections revealed a pulmonary sequestration in the basal segment of the left lower lobe (Figure 2). Moreover, upper GI endoscopy showed a bulging deformation of the gastric fundus by an extrinsic mass, without any mucosal abnormalities. An exploratory laparotomy was performed and revealed two cystic lesions; the first was attached to the fundus of the stomach and the second was embedded within the gastrosplenic ligament, close to the spleen. Therefore, intact excision of both cysts and splenectomy were carried out. Postoperative course was uneventful and the patient has been asymptomatic since then.Pathologic examination of the surgical specimens reported a large cyst, measuring 8 cm × 5.5 cm in diameter and 0.3 cm thick and a smaller cyst (removed from the gastrosplenic ligament), measuring 3 cm in diameter and 0.2 cm thick. Both consisted of a smooth muscular wall, were lined by a pseudostratified, ciliated and columnar (respiratory type) epithelium and contained a clear, gelatinous fluid. Sub-epithelium seromucous glands were microscopically identified (Figure 3), a histologic appearance reminiscent of bronchial wall; however no cartilage was present. CASE REPORT Foregut duplication cysts of the stomach with respiratory epithelium AbstractGastrointestinal duplication is a congenital rare disease entity. Gastric duplication cysts seem to appear even more rarely. Herein, two duplications cysts of the stomach in a 46 year-old female patient are presented.Abdominal computed tomography demonstrated a cystic lesion attached to the posterior aspect of the gastric fundus, while upper gastrointestinal endoscopy was negative. An exploratory laparotomy revealed a non-communicating cyst and a smaller similar cyst embedded in the gastrosplenic ligament. Excision of both cysts along with the spleen was performed and pathology...

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“…11 GDC may further cause of relapsing pancreatitis thus complicating the diagnosis. [12][13] Many a times, these patients underwent several surgeries before correct diagnosis could be made. 14, 15 Traverso et al had described two groups of patients where GDC results in relapsing pancreatitis: one group where GDC communicated with pancreatic duct, while in the second group, it is separate from it.…”

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confidence: 99%