Gastric duplication presenting as partial gastric outlet obstruction

Fusi, Giulia; Molinaro, Francesco; Ferrara, Francesco; Taddei, Alessandra; Roviello, Franco; Marano, Luigi; Rossi, Fabiola; Costantini, Maurizio; Cappelli, Alessandro; Messina, Mario; Angotti, Rossella

doi:10.1016/j.epsc.2020.101723

Cited by 3 publications

(9 citation statements)

References 24 publications

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“…OGD is valuable for identifying ulcers and strictures and defining the anatomy of upper GIT duplication cysts, both preoperatively and intraoperatively, though it is not typically diagnostic. CT and MRI scans can also be used in complicated cases or when the U/S finding is unclear [12, 13]. In the current case, OGD revealed normal findings except for mild antral erosion.…”

Section: Discussionmentioning

confidence: 90%

“…Alimentary tract duplications are rare congenital anomalies affecting any part of the alimentary canal, from the mouth to the anus [12,13]. Duplications of the stomach, duodenum, and rectum are the rarest forms.…”

Section: Discussionmentioning

confidence: 99%

“…Symptoms may manifest before the age of 2 and remain asymptomatic in adults. Due to non-specific symptomatology, the disease may be misdiagnosed, or even complications like infection, ulceration, bleeding, perforation, fistula formation, and compression can occur [12,13].…”

Section: Discussionmentioning

confidence: 99%

“…Partial gastrectomy or cystectomy, whether through open surgery or laparoscopy, is often the preferred approach for managing patients with GDC [20]. Laparotomy has also been suggested for the management of complicated GDCs [13]. Laparoscopy significantly aids in diagnosing GDCs and is linked to fewer traumatic injuries and improved postoperative recovery [15].…”

Section: Case Reports In Gastroenterologymentioning

confidence: 99%

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Delayed Presenting Gastric Duplication Cyst Mimicking a Left Adrenal Cyst in a Young Female: A Case Report with a Literature Review

Bapir,

Qader,

Gharib

et al. 2024

Case Rep Gastroenterol

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Introduction: Gastric duplication cyst (GDC) is a rare congenital anomaly of the gastrointestinal tract. Though GDC is often misdiagnosed, misidentification as an adrenal cyst has rarely been reported. Herein, we report a case of GDC in a young female mimicking an adrenal cyst. Case Presentation: A 17-year-old female presented with chronic epigastric pain, nausea, and intermittent vomiting. Physical examinations revealed mild tenderness in the epigastric region. Esophagogastroduodenoscopy showed no abnormality. Ultrasound, contrast-enhanced computed tomography scan, and MRI of the abdomen and pelvis showed an oval-shaped left adrenal cystic lesion measuring 33 × 26 mm. Preoperative blood investigations and hormonal assessments were normal. Laparoscopy showed that the cyst originated from the greater curvature of the stomach. The left adrenal gland was normal. After an intraoperative consultation with a gastrointestinal surgeon, a wedge resection of the cyst was performed. Histopathology confirmed the gastric duplication cyst. Conclusion: GDCs are rare congenital malformations that may become symptomatic during adulthood. They can mimic adrenal cysts and lead to misdiagnosis.

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Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Case Reports In Gastroenterologymentioning

confidence: 99%

See 2 more Smart Citations

Delayed Presenting Gastric Duplication Cyst Mimicking a Left Adrenal Cyst in a Young Female: A Case Report with a Literature Review

Bapir,

Qader,

Gharib

et al. 2024

Case Rep Gastroenterol

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“…Gastric duplication (GD) is a rare congenital malformation of the gastrointestinal tract, with an incidence rate of 17/1,000,000 ( 1 ). Clinically, GD patients may have abdominal pain, vomiting, an abdominal mass, weight loss, and other symptoms, but the lack of specific clinical manifestations, imaging manifestations and laboratory tests make the diagnosis difficult ( 2 , 3 ). Therefore, it is easy to miss the diagnosis or have a misdiagnosis.…”

Section: Introductionmentioning

confidence: 99%

Clinical Characteristics of Gastric Duplication in Children

Liu

Lan

et al. 2022

Front. Pediatr.

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BackgroundTo investigate the clinical characteristics of gastric duplication (GD) in children.MethodsThe clinical data of 17 children with GD who were treated in our hospital from July 2015 to June 2021 were analyzed retrospectively. There were 8 males and 9 females, aged from 2 months to 11 years. All children underwent laparoscopic GD resections and postoperative pathological diagnosis was GD. In addition, we searched and analyzed the literature on GD in children from 1 January 2011 to 31 December 2021 from the PubMed, EMBASE, and Cochrane Library databases.ResultsGastric duplication was more common in females, with the most common cystic type occurring in the greater curvature of the stomach. Vomiting is the most common clinical manifestation. Ultrasound is an effective method for the early screening of GD. In this study, one patient who had multiple GDs underwent laparoscopic cystectomy and mucosectomy, one patient was converted to open surgery, and all other children underwent laparoscopic cystectomies. The time to oral intake was 2.3 ± 1.0 days (range: 1–4 days), and the postoperative hospital stay was 5.7 ± 1.7 days (range: 2–9 days). All children were followed up for 6–77 months and had an uneventful recovery with the resolution of the preoperative symptoms.ConclusionGastric duplication in children lacks specific clinical manifestations, and the preoperative diagnosis rate is not high, so surgical exploration combined with pathological examination is often needed to make a clear diagnosis. Laparoscopic cystectomy can achieve good therapeutic results.

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Gastric duplication Cyst in a Child - An insight

Nikumbh,

Singhavi,

Nikumbh

2023

ACHR

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Gastric duplication cyst is uncommon congenital anomaly in paediatric population with an incidence rate of 17 per million populations. Its diagnosis and treatment is challenging in infants and children for both the clinicians and the pathologists. Most of the cases, diagnosis is rendered on laparotomy followed by histopathology as could not be possible on clinical and imaging studies alone due to its varied presentation. The aim of this editorial is to highlight the morphology and rarity of gastric duplication cyst in children as less than 50 reported cases were available in literature.

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Gastric duplication presenting as partial gastric outlet obstruction

Cited by 3 publications

References 24 publications

Delayed Presenting Gastric Duplication Cyst Mimicking a Left Adrenal Cyst in a Young Female: A Case Report with a Literature Review

Delayed Presenting Gastric Duplication Cyst Mimicking a Left Adrenal Cyst in a Young Female: A Case Report with a Literature Review

Clinical Characteristics of Gastric Duplication in Children

Gastric duplication Cyst in a Child - An insight

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