Gastric, pancreatic, and ureteric duplication

Abstract

We report a case of an 8-month-old, asymptomatic child who was incidentally detected to have two cystic structures in the abdomen. Surgical exploration revealed a gastric and pancreatic duplication cyst along with a blind-ending duplication of the right ureter. Excision of the duplications was relatively straightforward, and the child made an uneventful recovery. This constellation of duplications has not been reported before.

Accessory pancreatic lobe with gastric duplication cyst: diagnostic challenges of a rare congenital anomaly

“…Gastric duplications account for 3.8% of all duplications of the gastrointestinal tract 2. Further, this gastric anomaly in association with accessory pancreas and pancreatic duplications is rarely reported 5. In fact, to the best of our knowledge, this is the 24th reported case of a combined gastric duplication cyst and duplicate pancreas,5 and the first reported case from Gujarat, India.…”

“…On the other hand, gastric duplication cysts result from abnormal foregut development and usually occur in the greater curvature 2. Pathologically, most enteric duplications present as cysts in relation to the organ, with a thickened muscular wall that usually shows some evidence of inflammation, and which is the cause of recurrent pain 2 5. However, in some cases, the inflammatory response may destroy the lining and may lead to diagnostic confusion with idiopathic pseudocysts 5.…”

“…Pathologically, most enteric duplications present as cysts in relation to the organ, with a thickened muscular wall that usually shows some evidence of inflammation, and which is the cause of recurrent pain 2 5. However, in some cases, the inflammatory response may destroy the lining and may lead to diagnostic confusion with idiopathic pseudocysts 5. Therefore, it is important not only to order the appropriate diagnostic modality, but also to interpret the data correctly 2.…”