Recurrent gastric intramural pseudocyst: A case report and comprehensive literature review of reported cases

• Published in: Radiology case reports 2024-11, Vol.19 (11), p.5429-5441
• Main Authors: Soltani, Amirhossein, Salimi, Mohsen, Nemati, Maryam, Mirshamsi, Ali
• Format: Article
• Language: English
• Subjects: Case Report; Chronic pancreatitis; Intramural gastric pseudocyst; Necrotizing pancreatitis; Pancreatic pseudocyst; Pseudocyst
• ISSN: 1930-0433; 1930-0433
• DOI: 10.1016/j.radcr.2024.08.041

Intramural gastric pseudocysts are extremely rare and are often associated with pancreatitis and pancreatic pseudocysts; they can lead to complex clinical presentations requiring careful diagnosis and management. We present a case of a 57-year-old man with a history of pancreatitis and pancreatic pseudocysts who was diagnosed with intramural gastric pseudocysts. The patient was diagnosed with multiple gastric intramural pseudocysts at different locations during separate admissions and imaging studies. This indicates a recurrence of gastric intramural pseudocysts. In these cases, studies rarely discuss recurrence and its underlying causes. This highlights a significant gap in the existing literature. To provide a broader understanding, we reviewed the literature by searching major databases (PubMed, Scopus, and Web of Science) and then extracted and analyzed data from 18 articles, reaching 24 similar cases. Of the 25 patients studied (including our case), 92% were male and 8% were female. Cases had a mean age of 47.68 ± 14.82 years. Additionally, 84% of the patients had a history of alcohol consumption, and 88% had a positive history of pancreatitis. Common symptoms were abdominal pain (especially in the epigastric region), vomiting, nausea, and weight loss. In conclusion, results showed that intramural gastric pseudocysts generally occur in middle-aged men with a history of chronic or heavy alcohol consumption and pancreatitis.