Gastric duplication cyst: a challenging EUS differential diagnosis between subepithelial gastric lesion and exophytic pancreatic cystic neoplasm—a case report and a literature review

Massidda, Marco; Rocchi, Chiara; Tomassini, Giulia; Prampero, Salvatore Francesco Vadalà di; Rocca, Paolo; Tondolo, Vincenzo; Manzoni, Gabriella; Bulajić, Milutin

doi:10.1007/s12328-022-01619-3

Cited by 6 publications

(4 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There have been 16 cases encountered in the literature (6, 9-21) reporting misdiagnosing PDCs as pancreatic neoplasms (Table 2). Most patients were asymptomatic and the cysts were found incidentally (6,10,11,15,17,19,21), while the rest came with recurrent symptoms (6,11,12,14,18,20). Symptomatic cases of PDCs presented with recurrent abdominal pain and sometimes pancreatitis, owing to inflammation and compression of the pancreatic duct leading to elevated serum amylase and lipase levels (1).…”

Section: Discussionmentioning

confidence: 99%

Pancreatic duplication cyst misdiagnosed as distal pancreatic tumor: A case report and surgical approach

Zain

Sweity²,

Alshawwa³

et al. 2023

Front. Surg.

View full text Add to dashboard Cite

Enteric duplication cysts (EDCs) are a benign and uncommon congenital malformation, with a nonspecific and extremely variable clinical presentation. EDCs associated with the pancreas are called pancreatic duplication cysts (PDCs). They are especially rare and can present with recurrent abdominal pain or even severe pancreatitis. These cysts often get confused with pancreatic neoplasms or pseudocysts, thus posing diagnostic and surgical challenges. Here, we report a case of a 20-year-old male patient with a 14-year history of recurrent abdominal pain and many hospital admissions, who had several imaging studies revealing a persistent focal heterogeneous lesion affecting the tail of the pancreas, surrounding a small pseudocyst. An ultrasound (U/S) guided biopsy was avoided due to the location of the mass. Surgical resection was carried out for the suspicion of malignancy and final pathology report showed benign findings while revealing that what was thought to be a pseudocyst turned out to be a gastric-type PDC, and after reviewing the available literature, we encountered 16 similar cases regarding misdiagnosing PDCs. We conclude that PDCs are very rare and have a variable clinical presentation as well as a likelihood of being confused with other pancreatic neoplasms. Therefore, PDCs need a high index of suspicion to avoid recurrent hospital admissions and unnecessary procedures due to the fact that sometimes a simple cystectomy is adequate.

show abstract

Section: Discussionmentioning

confidence: 99%

Pancreatic duplication cyst misdiagnosed as distal pancreatic tumor: A case report and surgical approach

Zain

Sweity²,

Alshawwa³

et al. 2023

Front. Surg.

View full text Add to dashboard Cite

show abstract

“… 14 It can clarify the nature of the GDC and explore the size of the cyst, the thickness of the cyst wall, the layered structure of the cyst wall, the adjacent cyst, the blood supply of the cyst, and the relationship with the gastric wall. 2 , 14 Ultrasonic examination has limitations, however, and is often affected by gastrointestinal gas, infection, perforation and bleeding, which are easily missed. In addition, ultrasound has some limitations in the diagnosis of GDC of tubular lesions, which is highly dependent on the experience of doctors; the rate of missed diagnosis or misdiagnosis is relatively high.…”

Section: Discussionmentioning

confidence: 99%

“…Ultrasound, computed tomography (CT) and magnetic resonance imaging (MRI) often indicate cystic space-occupying lesions, which are confirmed by tissue compression, obstruction, vomiting, etc. 2 In some patients with large cysts, the abdominal mass can be palpated in the upper abdomen. 3 The research report states that GDCs are mostly benign, but malignant lesions may also occur.…”

Section: Introductionmentioning

confidence: 99%

A Multi-Centric Comparative Study Between Endoscopy-Assisted Laparoscopic Surgery (EALS) vs Laparoscopic Surgery for the Treatment of Gastric Duplication Cysts in Children

Luo,

Liu,

Jiang

et al. 2023

TCRM

View full text Add to dashboard Cite

Purpose To compare and analyze the therapeutic effects of endoscopy-assisted laparoscopic surgery (EALS) and laparoscopic surgery (LS) in the treatment of gastric duplication cysts (GDCs). Patients and Methods We reviewed the clinical data of children with GDCs who underwent surgical treatment at Hubei Maternal and Child Health Hospital, Yijishan Hospital of Wannan Medical College, and Qingdao Women and Children’s Medical Center from September 2014 to November 2022. Results The study comprised 29 children with GDCs, including 14 in the EALS group and 15 in the LS group. There was no significant difference between the two groups in terms of age, sex, weight, and cyst size characteristics. There was a significant difference between the two groups in terms of average surgical time (P>0.05), which was 1.100 ± 0.833 hours in the EALS group and 1.933 ± 0.159 hours in the LS group. There was a significant difference between the two groups (P<0.05) in average intraoperative blood loss, which was 7.93 ± 3.81 milliliters in the EALS group and 11.80 ± 2.72 milliliters in the LS group. There was a significant difference between the two groups (P<0.05) in average postoperative fasting time, which was 73.79 ± 8.36 hours in the EALS group and 114.1 ± 9.24 hours in the LS group. There was a significant difference between the two groups (P<0.05) in average postoperative hospital stay, which was 10.21 ± 4.25 days in the EALS group and 14.47 ± 4.36 days in the LS group. Conclusion EALS technology can not only shorten surgical time, accurately locate GDCs, reduce injuries, and decrease the probability of complications but also achieve treatment goals safely and reliably.

show abstract

“…El diagnóstico preoperatorio representa un verdadero reto, ya que, por sus características de lesión mural con líquido proteínico espeso en su interior, puede simular otro tipo de lesiones gastrointestinales como los GIST 16 o la presencia de otras lesiones quísticas de órganos adyacentes como el páncreas, la vía biliar o el bazo 17 . En este caso, la lesión fue enfocada como un GIST de manejo quirúrgico, lo que demuestra la dificultad diagnóstica en estos pacientes.…”

Section: A B C Dunclassified

Resección laparoscópica de quiste de duplicación gástrica asistida por endoscopia

Naranjo-Salazar,

Botero-Velásquez,

Moreno

2023

Rev Colomb Cir

View full text Add to dashboard Cite

Introducción. Las duplicaciones gástricas son entidades congénitas poco frecuentes que se diagnostican principalmente en las etapas tempranas de la vida, y rara vez en pacientes adultos. El objetivo de este artículo fue presentar el caso de un adulto con esta patología, tratado exitosamente mediante cirugía. Caso clínico. Mujer de 26 años de edad con epigastralgia crónica refractaria a manejo médico, a quien durante endoscopia digestiva superior se le identificó una lesión quística sugestiva de tumor estromal gastrointestinal, confirmada por ultrasonido endoscópico. Resultados. Se realizó una resección quirúrgica laparoscópica asistida por endoscopia, con buena evolución postoperatoria. El estudio anatomo-patológico informó la presencia de un quiste de duplicación gástrica. Conclusiones. A pesar de las ayudas diagnósticas disponibles en la actualidad, esta patología representa un reto diagnóstico importante que, en muchas ocasiones solo puede ser confirmado mediante el estudio anatomopatológico. En paciente asintomático, continúa la controversia entre observarlo o llevarlo a cirugía, por el riesgo de malignidad. Actualmente, el manejo de las duplicaciones gástricas en adultos se considera eminentemente quirúrgico. Las resecciones laparoscópicas y el uso de endoscopia intraoperatoria permiten garantizar la resección completa de la lesión, preservando la mayor cantidad de tejido sano adyacente y previniendo estenosis o deformidades gástricas que afecten su adecuado funcionamiento.

show abstract

Gastric duplication cyst: a challenging EUS differential diagnosis between subepithelial gastric lesion and exophytic pancreatic cystic neoplasm—a case report and a literature review

Cited by 6 publications

References 31 publications

Pancreatic duplication cyst misdiagnosed as distal pancreatic tumor: A case report and surgical approach

Pancreatic duplication cyst misdiagnosed as distal pancreatic tumor: A case report and surgical approach

A Multi-Centric Comparative Study Between Endoscopy-Assisted Laparoscopic Surgery (EALS) vs Laparoscopic Surgery for the Treatment of Gastric Duplication Cysts in Children

Resección laparoscópica de quiste de duplicación gástrica asistida por endoscopia

Contact Info

Product

Resources

About