Year 2017 / Volume 109 / Number 8
Case Report
Adult gastric duplication: an unknown condition within the spectrum of gastric submucosal lesions

589-591

DOI: 10.17235/reed.2017.4851/2017

Yurena Caballero Díaz, Macarena Centeno Haro, Ángel Turégano García, Juan Ramón Hernández Hernández,

Abstract
Background: Gastric duplication is an uncommon condition in adults representing only 4-8% of all gastrointestinal duplications. It develops as a cystic growth within the thick gastric wall that is surrounded by a layer of smooth muscle and lined with gastric mucosa. It is usually asymptomatic but may present with nonspecific abdominal symptoms as well as cyst-related complications such as gastrointestinal (GI) bleeding, ulceration and even pancreatitis. They are difficult to distinguish from other gastric submucosal lesions and may also mimic a gastrointestinal tumor (GIST) or mucinous cyst of the pancreas. Endoscopic ultrasound (EUS) is the most widely used diagnostic procedure and histology provides a definitive diagnosis. Case report: We report the case of a 36-year-old female patient with a history of a “contained” perforated gastric ulcer that was managed conservatively. The patient was diagnosed with a gastric GIST which prompted a laparoscopic subtotal gastrectomy and Roux-en-Y reconstruction with a good postoperative outcome. Discussion: The definitive histological diagnosis was gastric duplication. Thus, the previous diagnosis of a “contained” perforated gastric ulcer was in fact a complication of the gastric duplication itself.
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17/05/2021 17:02:43
HOLA, DESCARGAR POR FAVOR


References
1. Geng YH1, Wang CX1, Li JT1, et al. Gastric foregut cystic developmental malformation: case series and literature review. World J Gastroenterol 2015; 21: 432-8.
2. Doepker MP1, Ahmad SA2. Gastric duplication cyst: a rare entity. J Surg Case Rep 2016.
3. Bhatti ZS1, Anderson MA2, Wasnik AP3. Complete gastric duplication in an adult with associated anomalies. Clin Imaging 2016; 40: 244-6.
4. Yoda T1, Furihata M, Nagao S, et al. An Adult Gastric Duplication Cyst Mimicking a Gastrointestinal Stromal Tumor. Intern Med 2016; 55: 2401-4.
5. Seijo Ríos S, Lariño Noia J, Abdulkader Nallib I, et al. Adult gastric duplication cyst: diagnosis by endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA). Rev Esp Enferm Dig 2008; 100: 586-90.
6. Eloubeidi MA1, Cohn M, Cerfolio RJ, et al. Endoscopic ultrasound-guided fine-needle aspiration in the diagnosis of foregut duplication cysts: the value of demonstrating detached ciliary tufts in cyst fluid. Cancer 2004; 102: 253-8.
7. Varas MJ1, Miquel JM, Abad R, et al. Interventionist endoscopic ultrasonography. A retrospective analysis of 60 procedures. Rev Esp Enferm Dig 2007; 99: 138-44.
8. Landi B1, Palazzo L. The role of endosonography in submucosal tumours. Best Pract Res Clin Gastroenterol 2009; 23: 679-701
9. Fazel A1, Moezardalan K, Varadarajulu S, et al. The utility and the safety of EUS-guided FNA in the evaluation of duplication cysts. Gastrointest Endosc 2005; 62: 575-80.
10. Eom JS, Kim GH, Song GA, et al. Gastric duplication cyst removed by endoscopic submucosal dissection. Korean J Gastroenterol. 2011; 58: 346-9
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Caballero Díaz Y, Centeno Haro M, Turégano García Á, Hernández Hernández J. Adult gastric duplication: an unknown condition within the spectrum of gastric submucosal lesions. 4851/2017


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Publication history

Received: 18/01/2017

Accepted: 03/04/2017

Online First: 19/06/2017

Published: 31/07/2017

Article revision time: 56 days

Article Online First time: 152 days

Article editing time: 194 days


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