A gastric duplication cyst with an aberrant pancreatic ductal system: report of a case

We report an extremely rare case of a gastric duplication cyst together with an aberrant pancreatic ductal system, which communicated with the stomach rather than the pancreatic ductal system with no evidence of pancreatitis. A 46-year-old woman developed severe abdominal pain after a 10-year histor...

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Bibliographic Details
Published in:Surgery today (Tokyo, Japan) Japan), 2002-01, Vol.32 (6), p.531-535
Main Authors: Muraoka, Atsushi, Tsuruno, Masaki, Katsuno, Gotaro, Sato, Naohiro, Murata, Toshihiro, Kokudo, Yasutaka, Tatemoto, Akihiko, Sone, Yoshiyuki, Kagawa, Shigeo, Tsumura, Makoto, Mizobuchi, Koichi
Format: Article
Language:English
Subjects:
Cysts - complications
Cysts - diagnosis
Cysts - surgery
Female
Humans
Middle Aged
Pancreatic Ducts - abnormalities
Stomach Diseases - complications
Stomach Diseases - diagnosis
Stomach Diseases - surgery
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Summary:We report an extremely rare case of a gastric duplication cyst together with an aberrant pancreatic ductal system, which communicated with the stomach rather than the pancreatic ductal system with no evidence of pancreatitis. A 46-year-old woman developed severe abdominal pain after a 10-year history of occasional mild abdominal pain. Upper gastrointestinal barium radiography showed a rigidity of the stomach wall, and gastroscopy revealed a fistula orifice at a greater curvature of the gastric body. Subsequent endoscopic suction of mucous secretion from within the fistula provided immediate pain relief. Abdominal computed tomography and ultrasonography showed a cystic mass contiguous with the stomach wall. Surgical exploration revealed an uncommon anomaly of a gastric duplication cyst with the aberrant pancreatic lobe. The patient made an uneventful recovery and remains well 4 years after surgery. We also herein review ten other similar cases of this uncommon congenital anomaly reported in the literature.
ISSN:0941-1291
1436-2813
DOI:10.1007/s005950200092