Gastric Duplication Mimicking Pseudocyst of Pancreas: Case Report
Abstract
Gastrointestinal duplications can occur in any part of the gastrointestinal tract from the mouth to the anus. Duplication cysts (DC) may present with various clinical findings according to their location and may be confused with other cystic lesions. A 10-year-old male patient referred to our hospital with abdominal pain and vomiting. Abdominal examination revealed a palpable mass in the epigastric region. Laboratory tests indicated elevated levels of serum amylase. Ultrasonography and computed tomography imaging revealed 9x15 cm dense cystic lesion with internal echoes in the anterior vicinity of the pancreatic corpus-tail. The patient, who had no history of medication use, trauma, or previous episodes of pancreatitis, underwent surgery with the preliminary diagnosis of gastric duplication, after exclusion of pancreatic pseudocyst. In the surgical examination, DC originating from the posterior wall of stomach was detected and excised. In this case report, a gastric DC that mimicked pancreatic pseudocyst, causing an increase in pancreatic enzymes by exerting pressure on the pancreas, has been discussed in terms of clinical features and surgical options.
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References
- 1. Ladd WE, Gross RE. Duplications of the alimentary tract. South Med J. 30:363-371.
- 2. Holcomb GW 3rd, Gheissari A, O’Neill JA Jr, et al. Surgical management of alimentary tract duplications. Ann Surg. 1989;209:167-174.
- 3. Rattan KN, Bansal S, Dhamija A. Gastrointestinal Duplication Presenting as Neonatal Intestinal Obstruction: An Experience of 15 Years at Tertiary Care Centre. J Neonatal Surg. 2017;6:5.
- 4. Grosfeld JL, O’Neill JA Jr, Clatworthy HW Jr. Enteric duplications in infancy and childhood: an 18-year review. Ann Surg. 1970;172:83-90.
- 5. Ros PR, Olmsted WW, Moser RP Jr, et al. Mesenteric and omental cysts: histologic classification with imaging correlation. Radiology. 1987;164:327- 332.
- 6. Black PR, Welch KJ, Eraklis AJ. Juxtapancreatic intestinal duplications with pancreatic ductal communication: a cause of pancreatitis and recurrent abdominal pain in childhood. J Pediatr Surg. 1986;21:257-261.
- 7. Cooney DR, Crosfeld JL. Operative management of pancreatic pseudocysts in infants and children: a review of 75 cases. Ann Surg. 1975;182:590-596.
- 8. Steyaert H, Voigt JJ, Brouet P, et al. Uncommon complication of gastric duplication in a three-year-old child. Eur J Pediatr Surg. 1997;7:243-244.
- 9. Di Serafino M, Mercogliano C, Vallone G. Ultrasound evaluation of the enteric duplication cyst: the gut signature. J Ultrasound. 2015;19:131-133.
- 10. Puligandla PS, Nguyen LT, St-Vil D, et al. Gastrointestinal duplications. J Pediatr Surg. 2003;38:740-744.