Gastric duplication cyst in adult: Challenge for surgeons

Abstract

Gastric duplication cysts (GDCs) are uncommon developmental anomalies found primarily in children, being rarely seen in adults. Duplications can occur anywhere in the intestinal tract from the mouth to the anus. Accurate diagnosis of cysts before resection is difficult even using the most advanced imaging techniques. In this report, we present and discuss a case of GDC in a 25-year-old man treated laparoscopically. Patient admitted to our department with complaints of epigastric pain and swelling. Magnetic resonance imaging performed for accurate characterisation showed a 4 cm × 4.5 cm cystic lesion, with heterogeneous signal intensity on T2-weighted images, located in the posterior wall of the stomach. Pre-operative differential diagnosis including gastrointestinal stromal tumour (GIST) was made according to radiological findings. Patient underwent surgery and cyst resected laparoscopically. Histopathological examination suggesting duplication cyst. GDC can easily be mistaken for a GIST, and the clinician as well as radiologist must maintain a high degree of suspicion.

Uncommon Presentation of Gastric Duplication Cyst with Left-Sided Portal Hypertension: A Case Report and Literature Review

“…Despite the diverse range of symptoms associated with this condition, it is noteworthy that the early signs which led to the identification of the gastric duplication cyst in our patient are common across most case reports. Thus, we highlighted symptoms such as abdominal pain, weight loss and vomiting [10,[18][19][20][21][22][23][24][25]. Although unlikely, this symptomatology should raise a red flag for practitioners regarding a possible gastric duplication cyst.…”

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

“…The location, shape, size, density, and thickness of the cyst wall and its surrounding area can be established by CT and MRI, which are often used as examination means for further diagnosis, cyst location and qualitative diagnosis. 15 , 16 Upper gastrointestinal radiography is often used for preoperative selective examination. When the cyst is large or connected with the gastric cavity, the filling defect of the gastric wall can be seen.…”

Gastric Duplication in an Adult Female: A Challenging Diagnosis

“…Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) is also used in order to rule out malignancy, however, its use remains controversial, as elevated levels of carcinoembryonic antigen (CEA) and cancer antigen (CA) 19-9 have been found in samples of benign lesions [9,10]. The differential diagnosis includes gastrointestinal stromal tumors, neuroendocrine tumors, pancreatic heterotopia, pancreatic cystic lesions, and mesenteric cysts among others [9,[11][12][13]. In a retrospective review, which analyzed data from 319 patients, the rate of misdiagnosis was 72.14% [3].…”