Antral Duplication Cyst: A Cause of Hypergastrinemia, Recurrent Peptic Ulceration, and Hemorrhage

Stephen, Thomas; Bendon, Robert W.; Nagaraj, Hirikati S.; Sachdeva, Rakesh

doi:10.1097/00005176-199802000-00018

Cited by 27 publications

(25 citation statements)

References 6 publications

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“…vague abdominal complaints, nausea, vomiting, epigastric fullness, weight loss, anemia, dysphagia, dyspepsia, etc. Vomiting usually occurs due to partial or complete gastric outlet obstruction, while even more emergent cases have been reported such as pancreatitis [9] , hemoptysis [10] and gastrointestinal hemorrhage [11] . In our case, the female patient presented with loss of consciousness due to dehydration occurring as a result of excessive vomiting and concomitant anemia.…”

Section: Discussionmentioning

confidence: 99%

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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Section: Discussionmentioning

confidence: 99%

Foregut duplication cysts of the stomach with respiratory epithelium

Theodosopoulos

Marinis²,

Karapanos³

et al. 2007

WJG

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“…A wide range of symptoms and signs have been reported, and patients vary from being asymptomatic to having non-disease-specific presentations, e.g., vague abdominal complaints, nausea, vomiting, epigastric fullness, weight loss, and anemia [7]. In our case, the male patient presented with only abdominal pain.…”

Section: Discussionmentioning

confidence: 76%

Gastric Foregut Duplication Cyst as a Rare Cause of Abdominal Pain

Sarı

Kara

Verim³

et al. 2012

EAJM

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Gastric foregut cyst is a rare congenital disease. In this report, a gastric foregut cyst in a 22-year-old male patient is presented. Fluid-filled gastric ultrasonography and computed tomography demonstrated a cystic, calcified lesion attached to the anterior gastric wall. The same lesion was observed using upper gastrointestinal endoscopy. An exploratory laparotomy revealed a non-communicating cyst. The cyst was excised surgically, and pathology confirmed the diagnosis.

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“…The disease may mimic hypertrophic pyloric stenosis in adults. Also the patients may be hospitalised due to acute bleeding of the cyst or with pancreatitis (4,10,12 In some adults; GDC may be detected incidentally during upper gastrointestinal system endoscopy, endoscopic USG or other intraabdominal investigation processes (9,14,15). Due to the limited number of cases it has not yet become obvious what kind of evidences can help us to detect the disease in early stage.…”

Section: Discussionmentioning

confidence: 99%

“…It may very rarely reported in adults if it remains asymptomatic on previous years (2). GDC may be presented with inracystic bleeding, ulceration, infection, mechanical obstruction and malignancy (3,4). In this study we present a ten years old girl who was operated as acute abdomen and pathologically reported as GDC.…”

Section: Introductionmentioning

confidence: 92%

An uncommon cause of acute abdomen: gastric duplication cyst

Demiral¹,

Demirel²

2018

Acta Oncol Tur.

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ÖZETGastrik duplikasyon kistleri gastrointestinal sistemin nadir konjenital anomalilerindendir. Hastaların çoğu kusma, iştahsızlık ve beslenme bozukluğu ile başvurur. Olguların yarısı ilk yaş içerisinde tanı alır. Bu çalışmada akut batın sebebi ile başvuran ve gastrik duplikasyon kisti saptadığımız on yaşında ki bir olgu sunulmuştur. Çocuklarda nadir görülen gastrik duplikasyon kistlerinin akut batın nedeni olarak karşımıza çıkabileceği akılda tutulmalıdır. Anahtar Kelimeler: Gastrik duplikasyon kisti, akut batın, ayırıcı tanı ABSTRACT Gastric duplication cyst is a rare congenital anomaly of the gastrointestinal system. Patients are mostly presented with vomiting, anorexia and malnutrition. Half of the cases are diagnosed in the first year of life. In this study, we report a 10 year old girl with gastric duplication cyst that was presented as acute abdomen.

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Antral Duplication Cyst: A Cause of Hypergastrinemia, Recurrent Peptic Ulceration, and Hemorrhage

Cited by 27 publications

References 6 publications

Foregut duplication cysts of the stomach with respiratory epithelium

Foregut duplication cysts of the stomach with respiratory epithelium

Gastric Foregut Duplication Cyst as a Rare Cause of Abdominal Pain

An uncommon cause of acute abdomen: gastric duplication cyst

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