Gastric duplication cyst with elevated CEA level: a case report

Tessely, Héloïse; Montanier, Aude; Chasse, Emmanuel

doi:10.1093/jscr/rjy114

Cited by 3 publications

(19 citation statements)

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“…Laboratory tests in GDCs tend to be unremarkable. Rarely, some cases have abnormally elevated carcinoembryonic antigen (CEA) and CA 19-9[18,19]. These cases may be associated with malignant transformation of GDCs.…”

Section: Discussionmentioning

confidence: 99%

Gastric duplication cyst mimicking large cystic lymphangioma in an adult: A rare case report and review of the literature

Xv¹,

Sun²,

Gan³

et al. 2019

WJCC

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BACKGROUND Gastric duplication cysts (GDCs) are a relatively uncommon congenital developmental abnormality, mainly occurring in infants but very rarely in adults. Because of the variability in clinical presentation, it is often quite challenging to diagnose GDCs in adults. We are presenting a case report of an adult diagnosed operatively as having a GDC with a literature review to summarize clinical and imaging features and the treatment selections of GDCs in adults so that doctors could have a comprehensive understanding of this disease and make a precise diagnosis and a suitable therapeutic decision for patients. CASE SUMMARY A 51-year-old man presented with recurrent epigastric pain and fullness for two years. No significant findings were noted during physical examination and routine blood tests were unremarkable. An abdominal ultrasound revealed a large cyst in the upper left abdominal quadrant. A following contrast-enhanced abdominal computed tomography (CT) scan demonstrated a hypodense cystic lesion between the spleen and stomach. The lesion had scattered calcification in the cyst wall without any significant enhancement. The lesion was initially thought to be a cystic lymphangioma. The patient underwent a surgical resection and intraoperatively it was noted that the lesion was closely adherent to the greater curvature of the stomach. Subsequently, a resection of the gastric mass along with a partial gastrectomy was performed. The patient recovered quickly with a complete symptomatic relief and did not show any further complications during the 8-month follow-up. CONCLUSION GDCs are quite rare in adults, with a multitude of symptoms, which is quite challenging for precise diagnosis before histological examination. Some imaging techniques involving CT, magnetic resonance imaging, and endoscopic ultrasound could provide valuable morphological features for differential diagnosis.

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Section: Discussionmentioning

confidence: 99%

Gastric duplication cyst mimicking large cystic lymphangioma in an adult: A rare case report and review of the literature

Xv¹,

Sun²,

Gan³

et al. 2019

WJCC

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“…Además, se han descrito otros tipos como el carcinoma neuroendocrino, el carcinoma de células escamosas y el carcinoma epitelial. No obstante, el QDG puede manifestarse en la forma de dolor abdominal, masa epigástrica, náusea, vómito, pancreatitis recidivantes, HDA, fistulizaciones, oclusiones o suboclusiones 3,4,8 .…”

Section: Discussionunclassified

“…Existe controversia en el tratamiento de los QDG, sobre todo si son asintomáticos. En estos últimos casos, algunos autores optan por un control evolutivo dado que estas lesiones en el adulto son un hallazgo incidental y el riesgo de transformación maligna es escaso (se han descritos 12 casos en las publicaciones médicas 2,3,[8][9][10] ). Sin embargo, no existen datos publicados respecto de la morbimortalidad de una conducta expectante.…”

Section: Discussionunclassified

“…Sin embargo, no existen datos publicados respecto de la morbimortalidad de una conducta expectante. En los casos sintomáticos, la extirpación quirúrgica completa del quiste se considera el tratamiento de elección para evitar posibles complicaciones, que pueden aparecer en el 20 a 30% de los casos de QDG con tejido gástrico ectópico en su interior, como obstrucción, torsión, perforación, hemorragia, y por el riesgo de transformación maligna 3,7,11 .…”

Section: Discussionunclassified

“…Los quistes de duplicaciones gástricos (QDG) son muy raros. Representan entre 2 y 9% de todas las duplicaciones del aparato digestivo 3 . Se presenta el caso clínico de una paciente con un quiste de duplicación gástrico diagnosticado de forma incidental.…”

Section: Introductionunclassified

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Quiste de duplicación gástrico en el adulto. A propósito de un caso

Azorín-Samper¹,

Fernández-Palop²,

Segura³

et al. 2019

CIRU

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El quiste de duplicación gástrico es una anomalía congénita muy rara que representa entre 4 y 9% de todas las duplicaciones del aparato digestivo. Es una alteración bastante rara en el adulto y la mayoría de los casos se diagnostica en el periodo neonatal. En el adulto suele cursar de forma asintomática y la TC o RMN la descubren de forma incidental, aunque la prueba que la diagnóstica con mayor eficacia es la ecoendoscopia. La extirpación quirúrgica completa de la lesión se considera el tratamiento de elección. Se presenta el caso clínico de una paciente con un quiste de duplicación gástrico diagnosticado de forma incidental.

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Nonpolypous Hamartomas of the Gastrointestinal Tract: An Updated Review on Classification, Denominations, and Clinical Management

Gurzu

Jung

2022

Journal of Oncology

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Purpose. To perform the first systematic report about histological subtypes of nonpolypous hamartomas of the gastrointestinal (GI) tract, from esophagus to anal canal. Design. From over 19,000 studies about hamartomas, most of them published as case series or case presentations, we have selected the most representative ones for the GI tract, excluding polyposis syndromes. To have a whole picture of these hamartomas, all of the data were combined with the personal experience of the authors who are GI pathologists. Results. The examined articles showed predominance of vascular and combined vascular and mesenchymal hamartomas. Arteriovenous hamartomas or Brunner gland hamartomas are mainly diagnosed in the small intestine, with preponderance for duodenum. Other malformations such cavernous hamartomas are more specific for the colorectal segments, whereas chondromatous hamartomas or those derived from the neural ectoderm were mostly reported in the esophagus. As newly recognized entities were admitted in the last years, misdiagnosis is frequent, and the best therapeutic approach is far to be known. Conclusion. Even rare, hamartomas of the GI tract need to be differentiated from tumors and familial polyposis syndromes. Knowing their proper denominations and possible complications is valuable for gastroenterologists, pathologists, and surgeons, to be aware in the differential diagnosis.

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Gastric duplication cyst with elevated CEA level: a case report

Cited by 3 publications

References 10 publications

Gastric duplication cyst mimicking large cystic lymphangioma in an adult: A rare case report and review of the literature

Gastric duplication cyst mimicking large cystic lymphangioma in an adult: A rare case report and review of the literature

Quiste de duplicación gástrico en el adulto. A propósito de un caso

Nonpolypous Hamartomas of the Gastrointestinal Tract: An Updated Review on Classification, Denominations, and Clinical Management

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