Adult gastric duplication cysts : A case report and review of literature

In this report, we present the rare case of a 53-year-old white female with a gastric duplication cyst. Diagnosis was made with a combination of CT scan and endoscopic ultrasound. The cyst was removed by using a seromuscular incision and enucleation. A review of English literature was performed to h...

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Bibliographic Details
Published in:The American surgeon 2005-06, Vol.71 (6), p.522-525
Main Authors: O'DONNELL, Paul L, MORROW, J. Bradley, FITZGERALD, Timothy L
Format: Article
Language:English
Subjects:
Abdominal Pain - diagnosis
Abdominal Pain - etiology
Biological and medical sciences
Case studies
Cysts - diagnosis
Cysts - surgery
Digestive System Surgical Procedures - methods
Endosonography - methods
Female
Follow-Up Studies
Gastrointestinal diseases
Gastroscopy - methods
General aspects
Humans
Medical imaging
Medical sciences
Middle Aged
Risk Assessment
Severity of Illness Index
Stomach
Stomach Diseases - diagnosis
Stomach Diseases - surgery
Surgery
Tomography, X-Ray Computed
Treatment Outcome
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Summary:In this report, we present the rare case of a 53-year-old white female with a gastric duplication cyst. Diagnosis was made with a combination of CT scan and endoscopic ultrasound. The cyst was removed by using a seromuscular incision and enucleation. A review of English literature was performed to help define the etiology, workup, and treatment of adult patients. Theories of origin include embryologic enteric diverticula, incomplete notochordal plates separation, and embryonic longitudinal folds that fuse with a bridge. The essential features of duplication are that the cyst wall is contiguous with the stomach, is surrounded by smooth muscle, has a common blood supply, and is lined with epithelium. Few duplication cysts are diagnosed after the age of 12 and in adults present a diagnostic dilemma. In the past, preoperative diagnosis of gastric duplications was the exception, but with advances in imaging, most importantly endoscopic ultrasound, the diagnosis is established before surgery in a majority of the cases. Gastric duplication cysts have been removed using various methods; however, as enucleation can be performed easily with little disruption of normal anatomy, it should be considered the procedure of choice.
ISSN:0003-1348
1555-9823
DOI:10.1177/000313480507100616