Gastric Duplication Cyst Research Articles

Successful laparoscopic resection for gastric duplication cyst: a case report

BackgroundGastric duplication is a relatively rare congenital malformation, accounting for approximately 2.9–3.8% of gastrointestinal duplications. Gastric duplication cyst is a congenital anomaly that is rarely observed in adults. Accurate diagnosis of these cysts before resection is difficult. In this report, we describe a patient with gastric duplication cysts that were treated by laparoscopic resection.Case presentationA 46-year-old Japanese woman was referred to our institution because a cystic lesion in the pancreatic tail was detected by ultrasonography during a health examination. The lesion had a clearly defined boundary of approximately 40 mm. A thick cystic lesion of the septum was observed in the pancreatic tail, but invasion into the stomach wall was not recognized on a computed tomographic scan. Endoscopic ultrasonography revealed that the tumor appeared smooth with a marginal edge, which was characterized by echo with high homogeneity, and the presence of viscous mucus was suspected. The preoperative diagnosis of mucinous cystic neoplasm was the reason for laparoscopic tumor resection. The resected specimen was a smooth surface tumor, and it was full of mucus. Histopathological study revealed that the mucosa was covered with crypt epithelium, muscularis mucosae, intrinsic muscularis, and serosa, and the wall of the tumor had a structure very similar to that of the stomach wall. The mucosa was partially drained by intrinsic gastric glands, but most of them were denucleated. No pancreatic tissue was present, and the tumor had no continuity with the spleen. These findings indicated a diagnosis of gastric duplication cyst with no continuity with the stomach wall.ConclusionsIn our experience, it is difficult to differentiate gastric duplication cyst from mucinous cystic neoplasm before laparoscopic resection. Events such as infection, bleeding, perforation, ulceration, fistula formation, obstruction, and compression have been linked to gastric duplication cysts, and malignant transformation of these cysts has been reported. Therefore, we suggest that resection should be the first treatment option for gastric duplication cysts.

Gastric duplication cyst in an adult with autoimmune hemolytic anemia: a case report and review of the\xa0literature

BackgroundGastric duplication cysts are uncommon congenital anomalies found primarily in children and rarely seen in the adult population. Accurate diagnosis of cysts before resection is difficult even using the most advanced imaging techniques.Case presentationIn this report, we describe a 28-year-old Moroccan patient with a history of autoimmune hemolytic anemia who presented with an asymptomatic abdominal cystic mass detected during abdominal computed tomography performed before splenectomy. Magnetic resonance imaging performed for accurate characterization showed a high-signal-intensity cystic mass on T2-weighted images, located between the patient’s stomach and spleen. The patient underwent a complete cyst resection during exploratory laparotomy. The histological examination showed a cyst lined by three different epithelia with bundles of smooth muscle, which suggested a gastric duplication cyst.ConclusionsWe report a case of gastric cyst duplication in an adult with autoimmune hemolytic anemia, and we discuss this rare association, radiological findings, and the unique histological findings of this case.

GASTRIC DUPLICATION CYST: A RARE CONGENITAL ANOMALY

Gastrointestinal (GI) duplication is defined as a spherical structure, with a muscular coat lined by a mucous membrane in the alimentary tract is a rare congenital anomaly. In this report, we present a case of a 14-year-old male child with complaints of epigastric pain for 1 month. Computed tomography scan of the abdomen was suggestive of two cystic lesions in the stomach. Exploratory laparotomy was performed with excision of cysts. Histopathology of both cysts was suggestive of gastric duplication cyst.

Gastric Duplication Cyst Associated with Esophageal Atresia and Anorectal Malformations: A Rare Association

Esophageal atresia (EA) and tracheoesophageal fistula (TEF) and anorectal malformations (ARM) in a newborn usually present with frothing of saliva and massive abdominal distension rendering it difficult to diagnose associated intrabdominal pathologies. We report a large gastric duplication (GD) cyst in a 2-day-old neonate with EA and TEF. GD cyst was detected in the early post-operative period as the abdominal distension persisted after repair of EA and TEF. The baby underwent excision of GD cyst with good outcome thereafter.

Gastric duplication cyst with elevated CEA level: a case report

Gastrointestinal tract duplications are congenital malformations rarely seen in adulthood. Gastric duplications (GD) represent 2–9% of it. Malignant transformation of GD is a rare complication described in the literature. We present the case of a 43-year-old man, who presented an abdominal mass and an elevated CEA level. A total gastrectomy was performed and the histological examination described a gastric duplication cysts (GDC) without malignant transformation. It is not the first case of elevation of CEA in GDC without evidence of malignancy described in the literature. Some authors think that GDC are premalignant lesions that envolve with the time to carcinomas. It is recommend that once the GDC is diagnosed to remove surgically the entire cyst even if the patient is asymptomatic.

Gastric diverticulum causing gastric outlet obstruction in the setting of duodenal atresia

Abstract Duodenal obstruction due to duodenal atresia occurs in 1 in 10,000 live births and is the most common type of intestinal obstruction in neonates [1–3]. Gastric outlet obstruction in the newborn period from causes other than hypertrophic pyloric stenosis is very uncommon [3]. Potential etiologies include gastric volvulus, antral web, and duplication cysts. Gastric diverticula in the infant is even more rare, with only a few case reports published, and only one describes a gastric diverticulum in the presence of a duodenal atresia [4–8]. In this report, we describe the first case of a gastric outlet obstruction due to a gastric diverticulum in the presence of duodenal atresia.

An uncommon cause of acute abdomen: gastric duplication cyst

An uncommon cause of acute abdomen: gastric duplication cyst

Gastric Duplication Cyst as an Unusual Cause of Gastric Outlet Obstruction in an Adult

Gastric Duplication Cyst as an Unusual Cause of Gastric Outlet Obstruction in an Adult

A prenatally diagnosed gastric duplication cyst connecting the pancreatic duct and paraspinal region

The gastrointestinal duplication of stomach is uncommon congenital anomalies of gastrointestinal tract. Herein a rare case of gastric duplication with newborn is being reported. A 14-day-old term female baby was admitted to our clinic with intermittent bilious vomiting and abdominal distention. In evaluation, abdominal cystic mass was detected in the left upper quadrant. The cyst which was attached to both the pancreatic duct and spinal cord was removed totally by laparotomy. A histologic examination showed gastric duplication cyst. The postoperative course was uneventful. There were no any complications at the 8-month follow-up period. This rare entity should be included in the differential diagnosis of cystic masses of the gastrointestinal tract and treated surgically by complete resection due to the risk of malignant transformation and other complications. This is the first case report that the gastric duplication cyst has a connection with both the pancreatic duct and spinal cord.

Accessory pancreatic lobe in association with a gastric duplication cyst

Gastric duplication cysts are an extremely rare anomaly with few reported cases in association with accessory pancreatic tissue. Diagnosis can be challenging given a presentation of recurrent pancreatitis and resemblance to pancreatic pseudocysts. We report the case of a 6-year old boy with multiple episodes of pancreatitis who was discovered to have an accessory pancreatic lobe connected to a gastric duplication cyst, successfully treated with surgical excision.

Duplicación quística intestinal. Caso clínico

Intestinal cystic duplications are rare congenital anomalies, with an estimated incidence of approximately 1:4500 autopsies. The etiopathogenesis is uncertain. These duplications are cystic, tubular or diverticular structures lined with gastrointestinal mucosa. They share a common smooth muscle wall with the gastrointestinal tract but usually their lumens do not communicate with each other. Gastric duplication cysts represent 7-9% of the gastrointestinal tract duplication. They can be diagnosed prenatally by fetal ultrasound; magnetic resonance imaging characterizes the cyst and excludes other malformations. Postnatal ultrasound shows a characteristic double walled cyst. Newborns are usually asymptomatic, although nonspecific gastrointestinal symptoms, intestinal obstruction due to mass effect, volvulus or infection are described. In asymptomatic patients, clinical follow-up and periodic image controls are recommended. Elective surgical resection is the treatment of choice, using minimally invasive technique whenever possible. A case of prenatally suspected intestinal cystic duplication is presented.

Laparoscopic resection of gastric duplication cysts in newborns: a report of five cases

BackgroundGastric duplication cysts are rare congenital alimentary tract anomalies and most cases are recognized during childhood. There were few reports about gastric duplication cysts in newborns and even fewer reports about laparoscopic resection of gastric duplication cysts in newborns.Case presentationWe report a series of five newborns with gastric duplication cysts which were successfully resected by laparoscopy between January 2010 and April 2015. Case 1, a male newborn was admitted because of severe salivation, choking cough and dyspnea for 30 min after birth. Case 2, a male, was suspected of duodenal ileus by antenatal examination. Case 3, a female was admitted because of vomiting for 5 days. Case 4,a female without significant symptoms simply visited us for the abdominal cyst detected by antenatal examination. Case 5, a male was admitted because of vomiting for 4 days. All patients were performed with a surgery after assistant examinations. Case 1 was died of respiratory failure and the other patients recovered uneventfully.ConclusionGastric duplication cysts in newborns are very rare. Laparoscopic surgery play an important role on the diagnosis and treatment. Our experience and practice indicate that laparoscopic resection of gastric duplication cysts in newborns is viable and there is also a need to increase sample size to prove its safety and effectiveness.

Collision tumor arising from a gastric duplication cyst

Collision tumor arising from a gastric duplication cyst

Gastric duplication cyst diagnosed with endosonography and managed with modified endoscopic mucosal resection in one session of endoscopy

Background and Objectives:Duplication cyst of gastrointestinal tract is uncommon, especially stomach. Most cases were identified incidentally while receiving endoscopy for other unrelated signs and symptoms. Most gastrointestinal duplication cysts are asymptomatic, and sometimes, hemorrhage could be presented if the overlying mucosa is eroded. Here, we presented a case of gastric duplication cyst presented as a subepithelial tumor on esophagogastroduodenoscopy (EGD) and we performed endosonography (EUS) for diagnosis and modified endoscopic mucosal resection (EMR) for treatment in one session of endoscopy.Case Report:A 43-year-old female presented to our outpatient department for a second opinion about the management of a gastric subepithelial tumor. She received an EGD for health examination and a gastric subepithelial tumor over antrum was identified incidentally. EUS was scheduled and it demonstrated an anechoic homogeneous lesion arising between muscularis mucosae layer (second layer) and submucosa layer (third layer) on the anterior wall of the antrum (size: 8.3 mm × 4.7 mm). Duplication cyst of the stomach was impressed, and we removed it with modified EMR subsequently in one session of endoscopy. Histology disclosed two cystic lesions lined by single layer of gastric type mucosal epithelium and walled by well-developed smooth muscle layers, consistent with duplication cyst and gastric duplication cyst, was diagnosed.Conclusion:Gastric duplication cyst could be diagnosed with EUS, and modified EMR is an option for management.

Cysts of Gastrointestinal Origin in Children: Varied Presentation.

PurposeAbdominal cysts of gastrointestinal origin are rare. Their rarity and varied clinical presentations make their pre-operative diagnosis difficult.MethodsFourteen patients with histological diagnosis of cysts of gastrointestinal origin admitted between 2009 and 2015 were retrospectively analyzed with respect to age, sex, clinical presentation, diagnostic modality, site and type of cyst, management, outcome and follow-up.ResultsThe mean age at presentation was 4 years and there were six males and eight females. Abdominal pain was the most common presenting symptom. Five patients had an acute presentation-three had distal ileal mesenteric cysts and two had ileal duplication cyst sharing a common wall with ileum. Six patients presented with chronic abdominal pain and lump—three patients had omental cysts and three had mesenteric cysts—two of these in distal ileum and one in sigmoid colon. Two patients presented with antenatally diagnosed palpable abdominal lump. One had a mesenteric cyst of the ileum and the other had a distal ileal duplication cyst which required excision with resection and anastomosis. One patient had an atypical presentation. He was a known case of sickle cell trait and had presented with vague abdominal pain, recurrent cough and multiple episodes of haemoptysis over a period of one year. At laparotomy, gastric duplication cyst was found which was excised completely. Histopathology confirmed the diagnosis.ConclusionCysts of gastrointestinal origin are rare and have varied presentation. Surgical excision is the mainstay of treatment. The results and prognosis are good.

Preoperative misdiagnosed gastrointestinal stromal tumor surgical “transferred” into gastric duplication cyst

Preoperative misdiagnosed gastrointestinal stromal tumor surgical “transferred” into gastric duplication cyst

Intraoral Swelling in a Neonate: Airway Management a Challenge

Foregut duplications occurring in tongue have very few reports in literature. These oral and esophageal lesions may cause feeding and respiratory difficulties. For surgical excision securing airway in these babies is very challenging, as visualization of glottis is hampered, because of lack of space in the mouth. We report a case of twelve hours old neonate referred to our institute for the excision of intraoral swelling under general anaesthesia which was revealed as gastric duplication cyst histopathologically.

Gastrointestinal Duplication Presenting as Neonatal Intestinal Obstruction: An Experience of 15 Years at Tertiary Care Centre.

Background: Gastrointestinal tract (GIT) duplications are one of the rare congenital anomalies and can occur in any portion of the gastrointestinal tract but are more commonly encountered in small intestine. The duplication cysts cause symptoms like abdominal mass and intestinal obstruction requiring surgery or may remain asymptomatic. We are reporting our 15 years’ experience duplication cysts presenting in neonates. Methods: It is a retrospective study undertaken in the department of pediatric surgery between 2001 and 2015 for GIT duplications in neonates. Patients were analyzed for their antenatal diagnosis, age, sex, clinical diagnosis, investigatory approach, operative management and surgical outcomes. Results: Total number of neonates, diagnosed with gastrointestinal duplication in the last 15 years, was 17. Male to female ratio was 3.3:1. The most common location was found to be the ileum occurring in 71% of cases. Apart from ileum, 2 cases of duodenal and 1 case each of gastric, colonic and cecal duplication cyst were encountered. Majority cases presented with sub-acute intestinal obstruction and were managed successfully by resection and end to end anastomosis. Associated gut atresia was found in 4 cases while 1 case was found to be associated with perforation of gut. Conclusion: Gastrointestinal tract duplications often present with typical symptoms of gastrointestinal tract obstruction. Early diagnosis and management is required to prevent postoperative morbidity and mortality.

Gastric Duplication Cyst-A Case Report

Commonest site for enteric duplications is small bowel and it is extremely uncommon for gastroduodenal region to get affected. Presentation maybe antenatal on anomaly scan or post natally when symptomatic due to complications. We report a 5month old girl who was brought with malena, abdominal pain and vomiting of two days duration with antenatal Ultrasound showing a cystic mass of unknown origin. On exploration, mass in the gastroduodenal region was found. Wide local excision with a part of the gastric wall &tail of pancreas was done. Histopathology was suggestive of gastric duplication cyst.

Using of Robot-Assisted Single Incision with Single Port Platform for Resection of Gastric Duplication Cyst

Using of Robot-Assisted Single Incision with Single Port Platform for Resection of Gastric Duplication Cyst