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.

Keywords

• Duplication Cyst
• Stomach
• Pancreatic Pseudocyst
• Child

Pankreas Psödokistini Taklit Eden Mide Duplikasyonu: Olgu Sunumu

Abstract

Gastrointestinal duplikasyonlar ağız boşluğundan anüse kadar gastrointestinal sistemin herhangi bir kısmında görülebilir. Yerleşim yerlerine göre duplikasyon kistleri (DK) farklı klinik bulgular gösterebilir ve diğer kistik lezyonlarla karışabilir. Karın ağrısı ve kusma şikayeti ile başvuran 10 yaşında erkek hastanın, epigastrik bölgede ele gelen kitle ve yüksek serum amilaz seviyeleri nedeni ile yapılan ultrasonografi ve bilgisayarlı tomografi görüntülemesinde pankreas korpus-kuyruk anterioru komşuluğunda 9x15 cm boyutunda internal ekolar barındıran yoğun içerikli kistik lezyon saptandı. İlaç kullanımı, travma ve daha önce geçirilmiş pankreatit atağı öyküsü bulunmayan hasta pankreas psödokisti ekarte edilerek mide duplikasyonu ön tanısı ile opere edildi. Cerrahi incelemesinde mide posteriorundan köken alan DK tespit edilerek eksize edildi. Bu olgu sunumunda pankreas psödokisti ile karışan ve pankreasa bası yaparak pankreatik enzimlerde artışa neden olan bir mide DK olgusu klinik özellikler ve cerrahi seçenekler açısından tartışılmıştır.

Keywords

• Duplikasyon Kisti
• Mide
• Pankreas Psödokisti
• Çocuk

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