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Namikawa T, Aida M, Utsunomiya M, Yokota K, Munekage M, Maeda H, Kitagawa H, Kobayashi M, Hanazaki K, Seo S. Laparoscopic resection of a gastric duplication cyst located near the esophagogastric junction. Clin J Gastroenterol 2024; 17:222-227. [PMID: 38281287 DOI: 10.1007/s12328-023-01916-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/31/2023] [Accepted: 12/21/2023] [Indexed: 01/30/2024]
Abstract
We herein describe the rare case of a patient with a gastric duplication cyst who underwent laparoscopic resection. A 67-year-old man was referred to our hospital with an intra-abdominal lesion incidentally diagnosed on abdominal computed tomography. Esophagogastroduodenoscopy revealed normal esophageal and gastric mucosa without any lesions. Abdominal contrast-enhanced computed tomography revealed an 18 mm well-defined mass adjacent to the lesser curvature side of the esophagogastric junction. Following clinical diagnosis as an intra-abdominal mass, the patient underwent laparoscopic surgery in a five-port setting. The lesion originated from the stomach, near the muscular layer. The stomach muscle layer was partially resected; however, no communication between the mass and gastric mucosa was identified. Macroscopically, the resected specimen was 19 × 18 mm with a smooth surface and distinct margins. Microscopic examination confirmed the diagnosis of a gastric duplication cyst. The inner surface was covered with gastric gland pit-type columnar epithelial cells without atypia or neoplastic changes. The cyst wall presented layers of mucosa, muscularis mucosae, submucosa, muscularis propria, and subserosa. The patient's course after the procedure was uneventful, and he was discharged 8 days postoperatively. Gastric duplication cysts are rare and mostly asymptomatic, and their laparoscopic partial resection is safe and effective.
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Affiliation(s)
- Tsutomu Namikawa
- Department of Surgery, Kochi Medical School, Kohasu Nankoku, Kochi, Oko-Cho, 783-8505, Japan.
| | - Masaki Aida
- Department of Surgery, Kochi Medical School, Kohasu Nankoku, Kochi, Oko-Cho, 783-8505, Japan
| | - Masato Utsunomiya
- Department of Surgery, Kochi Medical School, Kohasu Nankoku, Kochi, Oko-Cho, 783-8505, Japan
| | - Keiichiro Yokota
- Department of Surgery, Kochi Medical School, Kohasu Nankoku, Kochi, Oko-Cho, 783-8505, Japan
| | - Masaya Munekage
- Department of Surgery, Kochi Medical School, Kohasu Nankoku, Kochi, Oko-Cho, 783-8505, Japan
| | - Hiromichi Maeda
- Department of Surgery, Kochi Medical School, Kohasu Nankoku, Kochi, Oko-Cho, 783-8505, Japan
| | - Hiroyuki Kitagawa
- Department of Operating Room Management, Kochi Medical School Hospital, Nankoku, Japan
| | - Michiya Kobayashi
- Department of Human Health and Medical Sciences, Kochi Medical School, Nankoku, Japan
| | - Kazuhiro Hanazaki
- Integrated Center for Advanced Medical Technologies, Kochi Medical School Hospital, Nankoku, Japan
| | - Satoru Seo
- Department of Surgery, Kochi Medical School, Kohasu Nankoku, Kochi, Oko-Cho, 783-8505, Japan
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Bapir R, Qader D, Gharib D, Tahir S, Abdullah A, Asaad H, Ahmed S, Ali H, Abdullah H, Ahmed S, Hussein Kakamad F, Aghaways I. Delayed Presenting Gastric Duplication Cyst Mimicking a Left Adrenal Cyst in a Young Female: A Case Report with a Literature Review. Case Rep Gastroenterol 2024; 18:153-160. [PMID: 38524872 PMCID: PMC10959546 DOI: 10.1159/000537972] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/18/2023] [Accepted: 01/31/2024] [Indexed: 03/26/2024] Open
Abstract
Introduction Gastric duplication cyst (GDC) is a rare congenital anomaly of the gastrointestinal tract. Though GDC is often misdiagnosed, misidentification as an adrenal cyst has rarely been reported. Herein, we report a case of GDC in a young female mimicking an adrenal cyst. Case Presentation A 17-year-old female presented with chronic epigastric pain, nausea, and intermittent vomiting. Physical examinations revealed mild tenderness in the epigastric region. Esophagogastroduodenoscopy showed no abnormality. Ultrasound, contrast-enhanced computed tomography scan, and MRI of the abdomen and pelvis showed an oval-shaped left adrenal cystic lesion measuring 33 × 26 mm. Preoperative blood investigations and hormonal assessments were normal. Laparoscopy showed that the cyst originated from the greater curvature of the stomach. The left adrenal gland was normal. After an intraoperative consultation with a gastrointestinal surgeon, a wedge resection of the cyst was performed. Histopathology confirmed the gastric duplication cyst. Conclusion GDCs are rare congenital malformations that may become symptomatic during adulthood. They can mimic adrenal cysts and lead to misdiagnosis.
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Affiliation(s)
- Rawa Bapir
- Smart Health Tower, Sulaimani, Iraq
- Department of Urology, Sulaimani Surgical Teaching Hospital, Sulaimani, Iraq
| | - Deedar Qader
- Department of Urology, Sulaimani Surgical Teaching Hospital, Sulaimani, Iraq
| | - Dana Gharib
- Smart Health Tower, Sulaimani, Iraq
- Gastroenterology and Hepatology, Teaching Hospital, Sulaimani, Iraq
| | - Soran Tahir
- Smart Health Tower, Sulaimani, Iraq
- College of Medicine, University of Sulaimani, Sulaimani, Iraq
| | - Ari Abdullah
- Smart Health Tower, Sulaimani, Iraq
- Sulaimani Teaching Hospital, Sulaimani, Iraq
| | - Hoshmand Asaad
- Smart Health Tower, Sulaimani, Iraq
- Gastroenterology and Hepatology, Teaching Hospital, Sulaimani, Iraq
| | | | - Hemn Ali
- Smart Health Tower, Sulaimani, Iraq
| | - Hiwa Abdullah
- Smart Health Tower, Sulaimani, Iraq
- Kscien Organization, Azadi Mall, Sulaimani, Iraq
| | - Sasan Ahmed
- Smart Health Tower, Sulaimani, Iraq
- Kscien Organization, Azadi Mall, Sulaimani, Iraq
| | - Fahmi Hussein Kakamad
- Smart Health Tower, Sulaimani, Iraq
- College of Medicine, University of Sulaimani, Sulaimani, Iraq
- Kscien Organization, Azadi Mall, Sulaimani, Iraq
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Bu YW, Han RQ, Ma WQ, Wang GN, Er LM. New treatment for gastric duplication cyst: Endoscopic ultrasonography-guided fine-needle aspiration combined with lauromacrogol sclerotherapy: A case report. World J Clin Cases 2023; 11:7905-7910. [DOI: 10.12998/wjcc.v11.i32.7905] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/22/2023] [Revised: 11/02/2023] [Accepted: 11/09/2023] [Indexed: 11/16/2023] Open
Abstract
BACKGROUND Gastric duplication cysts are very rare disease that are mainly diagnosed by endoscopic ultrasonographic fine-needle aspiration biopsy. In the past, this disease was usually treated with traditional surgery and rarely with minimally invasive endoscopic surgery. However, minimally invasive endoscopic therapy has many advantages, such as no skin wound, organ preservation, postoperative pain reduction, early food intake, fewer postoperative complications, and shorter post-procedure hospitalization.
CASE SUMMARY We report a case of endoscopic ultrasonography-guided fine-needle aspiration (EUS-FNA) combined with lauromacrogol sclerotherapy for pyloric obstruction due to gastric duplication cysts.
CONCLUSION EUS-FNA combined with lauromacrogol sclerotherapy provides a new option for the treatment of gastrointestinal duplication cysts.
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Affiliation(s)
- Ya-Wei Bu
- Department of Endoscopy, The Fourth Hospital of Hebei Medical University, Shijiazhuang 050000, Hebei Province, China
| | - Ruo-Qi Han
- Department of General Medicine, The Fourth Hospital of Hebei Medical University, Shijiazhuang 050000, Hebei Province, China
| | - Wen-Qian Ma
- Department of Endoscopy, The Fourth Hospital of Hebei Medical University, Shijiazhuang 050000, Hebei Province, China
| | - Gong-Ning Wang
- Department of Endoscopy, The Fourth Hospital of Hebei Medical University, Shijiazhuang 050000, Hebei Province, China
| | - Li-Mian Er
- Department of Endoscopy, The Fourth Hospital of Hebei Medical University, Shijiazhuang 050000, Hebei Province, China
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Luo Y, Liu J, Jiang Z, Yang X, Lin S, Mao X. A Multi-Centric Comparative Study Between Endoscopy-Assisted Laparoscopic Surgery (EALS) vs Laparoscopic Surgery for the Treatment of Gastric Duplication Cysts in Children. Ther Clin Risk Manag 2023; 19:801-810. [PMID: 37850071 PMCID: PMC10577250 DOI: 10.2147/tcrm.s426691] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2023] [Accepted: 09/20/2023] [Indexed: 10/19/2023] Open
Abstract
Purpose To compare and analyze the therapeutic effects of endoscopy-assisted laparoscopic surgery (EALS) and laparoscopic surgery (LS) in the treatment of gastric duplication cysts (GDCs). Patients and Methods We reviewed the clinical data of children with GDCs who underwent surgical treatment at Hubei Maternal and Child Health Hospital, Yijishan Hospital of Wannan Medical College, and Qingdao Women and Children's Medical Center from September 2014 to November 2022. Results The study comprised 29 children with GDCs, including 14 in the EALS group and 15 in the LS group. There was no significant difference between the two groups in terms of age, sex, weight, and cyst size characteristics. There was a significant difference between the two groups in terms of average surgical time (P>0.05), which was 1.100 ± 0.833 hours in the EALS group and 1.933 ± 0.159 hours in the LS group. There was a significant difference between the two groups (P<0.05) in average intraoperative blood loss, which was 7.93 ± 3.81 milliliters in the EALS group and 11.80 ± 2.72 milliliters in the LS group. There was a significant difference between the two groups (P<0.05) in average postoperative fasting time, which was 73.79 ± 8.36 hours in the EALS group and 114.1 ± 9.24 hours in the LS group. There was a significant difference between the two groups (P<0.05) in average postoperative hospital stay, which was 10.21 ± 4.25 days in the EALS group and 14.47 ± 4.36 days in the LS group. Conclusion EALS technology can not only shorten surgical time, accurately locate GDCs, reduce injuries, and decrease the probability of complications but also achieve treatment goals safely and reliably.
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Affiliation(s)
- Yanmei Luo
- Department of Pediatric Surgery, Maternal and Child Health Hospital of Hubei, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People’s Republic of China
| | - Jie Liu
- Department of Pediatric Surgery, Yijishan Hospital of Wannan Medical College, Wannan Medical College, Wuhu, People’s Republic of China
| | - Zhihui Jiang
- Department of General Surgery, Qingdao Women and Children’s Hospital, Qingdao, People’s Republic of China
| | - Xinghai Yang
- Department of Pediatric Surgery, Maternal and Child Health Hospital of Hubei, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People’s Republic of China
| | - Song Lin
- Department of Pediatric Surgery, Maternal and Child Health Hospital of Hubei, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People’s Republic of China
| | - Xiaowen Mao
- Department of Pediatric Surgery, Maternal and Child Health Hospital of Hubei, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People’s Republic of China
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Xu H, Liu W, Liu C, Zhai Y, Zhao H, Guo R, Lv L, Zhang S. Case report: Ileocecal preservation for multiple small intestinal duplications. Front Pediatr 2023; 11:1205155. [PMID: 37342532 PMCID: PMC10277474 DOI: 10.3389/fped.2023.1205155] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/13/2023] [Accepted: 05/22/2023] [Indexed: 06/23/2023] Open
Abstract
Small-intestinal duplication is a rare congenital developmental anomaly that is mainly single; multiple small-intestinal duplications are rare. Most malformations are located in the ileocecal region. The primary surgical treatment is complete resection of the malformations and adjacent intestinal ducts. However, the ileocecal junction plays an important role in children, and it is difficult to preserve it; multiple intestinal repairs increase the risk of postoperative intestinal fistula, which is a challenge for pediatric surgeons. Herein, we report a case of ileocecal preservation surgery for the treatment of multiple small intestinal duplication malformations near the ileocecal area. The child underwent laparoscopically assisted cyst excision and multiple intestinal repairs and had good postoperative recovery and follow-up.
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Affiliation(s)
- Hongxiu Xu
- Department of Thoracic and Oncological Surgery, Children’s Hospital Affiliated to Shandong University, Jinan, China
- Department of Thoracic and Oncological Surgery, Jinan Children’s Hospital, Jinan, China
| | - Weiqiang Liu
- Department of Pediatric Surgery, Zhucheng Maternal and Child Health Hospital, Weifang, China
| | - Chunqing Liu
- Zhucheng Longcheng Hospital of Traditional Chinese Medicine, Weifang, China
| | - Yunpeng Zhai
- Department of Thoracic and Oncological Surgery, Children’s Hospital Affiliated to Shandong University, Jinan, China
- Department of Thoracic and Oncological Surgery, Jinan Children’s Hospital, Jinan, China
| | - Huashan Zhao
- Department of Thoracic and Oncological Surgery, Children’s Hospital Affiliated to Shandong University, Jinan, China
- Department of Thoracic and Oncological Surgery, Jinan Children’s Hospital, Jinan, China
| | - Rui Guo
- Department of Thoracic and Oncological Surgery, Children’s Hospital Affiliated to Shandong University, Jinan, China
- Department of Thoracic and Oncological Surgery, Jinan Children’s Hospital, Jinan, China
| | - Longfei Lv
- Department of Thoracic and Oncological Surgery, Children’s Hospital Affiliated to Shandong University, Jinan, China
- Department of Thoracic and Oncological Surgery, Jinan Children’s Hospital, Jinan, China
| | - Shisong Zhang
- Department of Thoracic and Oncological Surgery, Children’s Hospital Affiliated to Shandong University, Jinan, China
- Department of Thoracic and Oncological Surgery, Jinan Children’s Hospital, Jinan, China
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Shchapov N, Kulikov D, Ekimovskaya E, Sergeyeva S, Andreyeva E, Ivanitskaya O. Laparoscopic cyst enucleation is a promising technique for treatment of gastrointestinal tract duplications in children. J Pediatr Surg 2023; 58:658-663. [PMID: 36641312 DOI: 10.1016/j.jpedsurg.2022.12.025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/30/2022] [Accepted: 12/12/2022] [Indexed: 12/26/2022]
Abstract
BACKGROUND Laparoscopic cyst enucleation has its advantages and limitations in treatment of gastrointestinal tract (GIT) duplications. It allows to avoid bowel resection in such locations as ileocecal valve. We introduced laparoscopic cyst enucleation with further bowel plasty using cyst muscle layer and without monopolar coagulation, for cyst dissection we used straight scissors. MATERIALS AND METHODS Our study included 20 children with GIT duplications, who underwent cyst enucleation from 2018 to 2021. Laparoscopy was performed in all cases with various cyst locations (stomach - 2, duodenum - 3, small bowel - 14, ileocecal area - 1). Mean age of surgery was 40 ± 35,3 days (min 6 days, max 150 days). RESULTS Mean operation time was 84,4 ± 27,35 min (min - 40 min, max - 160 min). We had no intraoperative complications. All patients received parenteral feeding for 3-5 days after the operation. Postoperative complications occurred in 3 cases: bowel perforation which required enterostomy (10%) and bowel volvulus required resection (5%). To our opinion, perforations occurred due to monopolar coagulation used for cyst enucleation in these children. No complications were observed in patients who underwent enucleation by straight scissors. Mean postoperative hospital stay was 15.6 ± 10.48 days (min - 4 days, max - 58 days). We observed neither stenosis nor any other complications in the long-term follow-up. CONCLUSIONS Laparoscopic cyst enucleation is a feasible and safe approach for GIT duplications. It allows to avoid bowel resection, and the use of straight scissors instead of monopolar coagulation provides less postoperative complications such as perforation. THE LEVEL OF EVIDENCE III.
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Affiliation(s)
- Nikolay Shchapov
- Thoracoabdominal Surgery Service and Emergency Surgical Care for Children, Ilyinskaya Hospital, Build. 2, 2, Rublevskoe Predmestie St., Vil. Glukhovo, Moscow Region, 143421, Russia; Department of Neonatal Surgery, Moscow Regional Center for Maternity and Childhood Healthcare, 338A, Oktyabrskiy Prosp., Lybertsy, Moscow Region, 140014, Russia.
| | - Denis Kulikov
- Thoracoabdominal Surgery Service and Emergency Surgical Care for Children, Ilyinskaya Hospital, Build. 2, 2, Rublevskoe Predmestie St., Vil. Glukhovo, Moscow Region, 143421, Russia
| | - Ekaterina Ekimovskaya
- Surgical Department of Newborns and Infants, The National Medical Research Center of Children's Health, 2/1, Lomonosovskiy Prosp., Moscow, 119991, Russia; Department of Neonatal Surgery, Moscow Regional Center for Maternity and Childhood Healthcare, 338A, Oktyabrskiy Prosp., Lybertsy, Moscow Region, 140014, Russia
| | - Svetlana Sergeyeva
- Department of Neonatal Surgery, Moscow Regional Center for Maternity and Childhood Healthcare, 338A, Oktyabrskiy Prosp., Lybertsy, Moscow Region, 140014, Russia
| | - Elena Andreyeva
- Medical Genetics Department, Moscow Regional Research Institute of Obstetrics and Gynecology, 22A, Pokrovka St., Moscow, 101000, Russia; Department of Prenatal Diagnostics, Russian Medical Academy of Continuous Professional Education of the Ministry of Health of the Russian Federation, Build. 1, 2/1, Barrikadnaya St., Moscow, 125993, Russia
| | - Olga Ivanitskaya
- Medical Genetics Department, Moscow Regional Research Institute of Obstetrics and Gynecology, 22A, Pokrovka St., Moscow, 101000, Russia
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Duvuru R, AlAwadhi A, Nawaz F, Ahmed A, Jobran AWM, Zazo A. A rare case of gastric duplication cyst in a male paediatric Caucasian patient: a case report. J Surg Case Rep 2022; 2022:rjac436. [PMID: 36324760 PMCID: PMC9613116 DOI: 10.1093/jscr/rjac436] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2022] [Accepted: 08/23/2022] [Indexed: 11/06/2022] Open
Abstract
Anywhere in the alimentary canal, you can find a gastric duplication cyst, a spherical muscle formation lined by mucosal membrane. It is an uncommon example of a group of congenital intestinal abnormalities. Gastric cysts typically develop on the stomach's greater curvature. A Caucasian 4-year-old boy came in with his family after experiencing colicky central stomach pain for 2 days, along with vomiting for 4 days, decreased oral intake, a temperature of up to 38.5°C and regular bowel movements. A region of the transverse colon with degraded and inflammatory serosa covered in omentum with black necrotic sections was seen during the procedure.
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Affiliation(s)
- Ruthwik Duvuru
- College of Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, United Arab Emirates
| | - Ahmad AlAwadhi
- College of Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, United Arab Emirates
| | - Faisal Nawaz
- College of Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, United Arab Emirates
| | - Aftab Ahmed
- Department of Pediatric Surgery, Mediclinic Welcare Hospital, Dubai, United Arab Emirates
| | | | - Aya Zazo
- Correspondence address. Faculty of Medicine, Aleppo University, Aleppo, Syria. E-mail:
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Erman M, Celik A. Laparoscopic excision of a very rare isolated gastric enteric duplication cyst: case report and literature review. ANNALS OF PEDIATRIC SURGERY 2022. [DOI: 10.1186/s43159-022-00210-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
Abstract
Background
Gastric duplication cysts are a very rare variant of all enteric duplications, and their isolated forms are much rarer developmental anomalies in the form of case reports only. In this study, a 4-month-old male patient, who was diagnosed with an intra-abdominal cystic mass in his antenatal examination and laparoscopic excision of the isolated gastric duplication was presented.
Case presentation
A 4-month-old male patient was born at 39 weeks of gestation, 3180 g. When a 37 × 17mm intra-abdominal cystic mass was detected in the detailed ultrasonography (USG) performed at the 20th week of his antenatal examination, he was followed up in another center with the preliminary diagnosis of mesenteric cyst and intestinal duplication cyst. It was learned that the patient had transient constipation and vomiting in his history. Physical examination revealed a mobile, smooth-surfaced 5-cm mass on palpation in the lower midline of the abdomen. Control ultrasonography revealed a lobulated contoured cystic lesion measuring 59 × 30 × 23 mm, with a multilayered wall structure and debris inside. In laparoscopy, the mass is mobile, thick-walled, cystic in appearance, isolated from surrounding tissues. It was observed that it was attached to the sigmoid colon mesentery with a handle. The thick peduncle containing the feeding vessels was closed and cut, preserving the mesentery. Thick mucoid cyst contents were aspirated with a percutaneous needle. The shrinking cyst was removed from the abdomen by enlarging the working opening of 5 mm. The macroscopic appearance was consistent with intestinal duplication cyst. The patient was fed orally at the 2nd hour postoperatively and was discharged at the 10th hour. In the pathological examination, gastric duplication cyst was diagnosed due to the type of gastric lining epithelium. No recurrence or additional pathology was detected in the control ultrasonography in the 6-month follow-up postoperatively.
Conclusion
Laparoscopic exploration should be considered as the first surgical option in asymptomatic, growing intra-abdominal cystic masses with a preliminary diagnosis of duplication cysts. The advantages of laparoscopy can make important contributions to patient management.
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Liu F, Xu X, Lan M, Tao B, Liang Z, Zeng J. Clinical Characteristics of Gastric Duplication in Children. Front Pediatr 2022; 10:857056. [PMID: 35419317 PMCID: PMC8995966 DOI: 10.3389/fped.2022.857056] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/18/2022] [Accepted: 03/04/2022] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND To investigate the clinical characteristics of gastric duplication (GD) in children. METHODS The clinical data of 17 children with GD who were treated in our hospital from July 2015 to June 2021 were analyzed retrospectively. There were 8 males and 9 females, aged from 2 months to 11 years. All children underwent laparoscopic GD resections and postoperative pathological diagnosis was GD. In addition, we searched and analyzed the literature on GD in children from 1 January 2011 to 31 December 2021 from the PubMed, EMBASE, and Cochrane Library databases. RESULTS Gastric duplication was more common in females, with the most common cystic type occurring in the greater curvature of the stomach. Vomiting is the most common clinical manifestation. Ultrasound is an effective method for the early screening of GD. In this study, one patient who had multiple GDs underwent laparoscopic cystectomy and mucosectomy, one patient was converted to open surgery, and all other children underwent laparoscopic cystectomies. The time to oral intake was 2.3 ± 1.0 days (range: 1-4 days), and the postoperative hospital stay was 5.7 ± 1.7 days (range: 2-9 days). All children were followed up for 6-77 months and had an uneventful recovery with the resolution of the preoperative symptoms. CONCLUSION Gastric duplication in children lacks specific clinical manifestations, and the preoperative diagnosis rate is not high, so surgical exploration combined with pathological examination is often needed to make a clear diagnosis. Laparoscopic cystectomy can achieve good therapeutic results.
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Affiliation(s)
- Fei Liu
- Department of Pediatric Surgery, Guangzhou Institute of Pediatrics, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China
| | - Xiaogang Xu
- Department of Pediatric Surgery, Guangzhou Institute of Pediatrics, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China
| | - Menglong Lan
- Department of Pediatric Surgery, Guangzhou Institute of Pediatrics, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China
| | - Boyuan Tao
- Department of Pediatric Surgery, Guangzhou Institute of Pediatrics, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China
| | - Zijian Liang
- Department of Pediatric Surgery, Guangzhou Institute of Pediatrics, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China
| | - Jixiao Zeng
- Department of Pediatric Surgery, Guangzhou Institute of Pediatrics, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China
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Doya LJ, Hassan NT, Bijow FW, Mansour HA, Ahmad S, Nooh F, Ibrahim A. An unusual cause of recurrent pediatric vomiting (an extraluminal pyloric duplication cystic): A case report. Oxf Med Case Reports 2021; 2020:omaa119. [PMID: 33391775 PMCID: PMC7768520 DOI: 10.1093/omcr/omaa119] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2020] [Revised: 10/08/2020] [Accepted: 10/22/2020] [Indexed: 12/22/2022] Open
Abstract
Vomiting is a common symptom of a multitude of diseases in children. It is usually part of benign illness and can occur at any age. Recurrent vomiting can be a symptom of life-threatening medical or surgical emergencies. It can be rarely caused by an extraluminal pyloric duplication cyst. Early recognition is essential for preventing delays in management and potential complications. Here we report a case of an extraluminal pyloric duplication presenting as progressive gastric outlet obstruction cyst in a 14-month-old Syrian boy. The diagnosis was made through abdominal ultrasound, gastrointestinal endoscopy and abdominal computed tomography scan.
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Affiliation(s)
- Leen Jamel Doya
- Department of Pediatrics, Tishreen University Hospital, Latakia, Syria
| | | | | | | | - Sawsan Ahmad
- Department of Pediatrics, Tishreen University Hospital, Latakia, Syria
| | - Fedaa Nooh
- Department of Pediatrics, Tishreen University Hospital, Latakia, Syria
| | - Ali Ibrahim
- Department of Pediatrics, Professor of Gastroenterology and Hepatology, Tishreen University Hospital, Latakia, Syria
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11
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Gastric duplication presenting as partial gastric outlet obstruction. JOURNAL OF PEDIATRIC SURGERY CASE REPORTS 2021. [DOI: 10.1016/j.epsc.2020.101723] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022] Open
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12
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Saldaña-Rodriguez JA, Gonzalez-Urquijo M, Padilla-Armendariz D, Rodriguez HA, Leyva-Alvizo A. Chronic gastroesophageal reflux disease secondary to a distal esophageal duplication cyst associated with a hiatal hernia. Eur Surg 2020. [DOI: 10.1007/s10353-020-00654-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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13
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Acute inflammation of gastric duplication cyst in a toddler. JOURNAL OF PEDIATRIC SURGERY CASE REPORTS 2020. [DOI: 10.1016/j.epsc.2020.101470] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022] Open
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15
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Wu CL, Ru BR, Hou GF, Xu BR, Du ZC, Sun B, Bai XW. Gastric duplication cyst with internal hemorrhage after trauma: A case report and literature review. Shijie Huaren Xiaohua Zazhi 2019; 27:1035-1040. [DOI: 10.11569/wcjd.v27.i16.1035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND Gastric duplication cyst (GDC) is a special type of digestive tract cyst, which occurs mostly in infants and young children. The cyst wall is similar to the stomach wall and mainly consists of gastric mucosa and smooth muscle tissue.
CASE SUMMARY Here we report a case of GDC with internal hemorrhage. This patient had severe abdominal pain after trauma. Based on her medical history and related examinations, she was misdiagnosed with hepatic cyst with internal hemorrhage. Intraoperative exploration revealed that the base of the cyst was located on the large curved side of the stomach.
CONCLUSION The clinical symptoms of GDC are untypical, and it is easy to misdiagnose. The preoperative diagnosis is mainly based on imaging examination and surgery is the main therapy method.
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Affiliation(s)
- Chuan-Lin Wu
- Department of Pancreatic and Biliary Surgery, the First Affiliated Hospital of Harbin Medical University, Harbin 150000, Heilongjiang Province, China
| | - Bei-Rei Ru
- Department of Pancreatic and Biliary Surgery, the First Affiliated Hospital of Harbin Medical University, Harbin 150000, Heilongjiang Province, China
| | - Guo-Fang Hou
- Department of Pancreatic and Biliary Surgery, the First Affiliated Hospital of Harbin Medical University, Harbin 150000, Heilongjiang Province, China
| | - Bo-Ran Xu
- Department of Pancreatic and Biliary Surgery, the First Affiliated Hospital of Harbin Medical University, Harbin 150000, Heilongjiang Province, China
| | - Zu-Chao Du
- Department of Pancreatic and Biliary Surgery, the First Affiliated Hospital of Harbin Medical University, Harbin 150000, Heilongjiang Province, China
| | - Bei Sun
- Department of Pancreatic and Biliary Surgery, the First Affiliated Hospital of Harbin Medical University, Harbin 150000, Heilongjiang Province, China
| | - Xue-Wei Bai
- Department of Pancreatic and Biliary Surgery, the First Affiliated Hospital of Harbin Medical University, Harbin 150000, Heilongjiang Province, China
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Yu LP, Li Q, Liu SJ, Wang HR, Xu T. [A case of gastric duplication presenting as a retroperitoneal cystic lesion]. JOURNAL OF PEKING UNIVERSITY. HEALTH SCIENCES 2019; 51:764-768. [PMID: 31420637 DOI: 10.19723/j.issn.1671-167x.2019.04.030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Gastric duplication is a rare congenital anomaly accounting to 4% of all gastrointestinal tract duplications. It is usually diagnosed pre-natally or during infancy. Retroperitoneal gastric duplication is very rare in adult patients. It is generally asymptomatic or presents with non-specific symptoms. The sensitivity of classical imaging modalities for retroperitoneal gastric duplication is weak. Retroperitoneal gastric duplication could be misdiagnosed as other retroperitoneal cystic lesions and it could be definitely diagnosed by typical findings of abdominal enhanced computed tomography (CT) and endoscopic ultrasonography (EUS) plus EUS:guided fine needle aspiration biopsy in gastric duplicated cyst. A female adult patient was diagnosed by an exceptional hospital CT as retroperitoneal cystic lesion and was admitted in our hospital in March 2019. The abdominal enhanced CT in our hospital preoperatively indicated a cystic lesion above the left kidney and the maximum cross section was 9.0 cm×5.2 cm. Lymphocysts and others should be identified and the lesion might be from the stomach. The retroperitoneal gastric duplication was not diagnosed before operation. In the operation laparoscopy revealed the cystic lesion in the retroperitoneum. The pancreas, left adrenal gland, and left kidney were compressed by the cystic lesion. The top of the lesion was connected with the small curvature of the stomach, but it was not communicated with the stomach. The retroperitoneal cystic lesion was completely excised and the surrounding organs were not damaged. The retroperitoneal gastric duplication was clearly diagnosed by the findings in the operation and the pathology of the lesion. The patient was discharged a week after surgery without gastrointestinal and pancreatic injuries. Therefore, the differential diagnosis of retroperitoneal cysts should consider the possibility of retroperitoneal gastric duplication. For patients with typical CT findings or unclear boundaries between the tumor and the stomach wall, gastric duplication could be diagnosed by EUS plus EUS:guided fine needle aspiration biopsy in the cyst. Retroperitoneal gastric duplication cyst could be completely excised by laparoscopy through abdominal cavity and the stomach wall could be completely repaired.
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Affiliation(s)
- L P Yu
- Department of Urology, Peking University People's Hospital, Beijing 100044, China
| | - Q Li
- Department of Urology, Peking University People's Hospital, Beijing 100044, China
| | - S J Liu
- Department of Urology, Peking University People's Hospital, Beijing 100044, China
| | - H R Wang
- Department of Urology, Peking University People's Hospital, Beijing 100044, China
| | - T Xu
- Department of Urology, Peking University People's Hospital, Beijing 100044, China
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Fang Y, Gao T, Yang H, Ma S, Li Q, Zhou PH. Removal of an infant's gastric duplication cyst through endoscopic submucosal dissection: A case report. Medicine (Baltimore) 2019; 98:e14820. [PMID: 30896625 PMCID: PMC6708793 DOI: 10.1097/md.0000000000014820] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/07/2023] Open
Abstract
RATIONALE Gastric duplication cyst is an anomaly that primarily occurs to children. Apart from the conventional use of surgical resection, few cases using endoscopic treatment have been reported. PATIENT CONCERNS A 5-month-old female infant was hospitalized with the chief complaint of gastric cyst. No significant abnormalities were identified by physical examination. INTERVENTIONS Endoscopic submucosal dissection (ESD) was performed successfully for the infant and the duration was less than 20 minutes. The patient showed no postoperative complications. OUTCOMES At 4 months during the follow-up, upper endoscopy revealed a small scar at the previous site of the lesion and no recurrence. LESSONS According to the results of PUBMED review, she was the youngest with gastric duplication cyst removed with ESD. The less invasive ESD should be considered an effective therapeutic option to remove gastric duplication cyst in children.
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Affiliation(s)
- Ying Fang
- Department of Gastroenterology, The Affiliated Children Hospital of Xi’an Jiaotong University
| | - Tianjiao Gao
- Department of Gastroenterology, The Affiliated Children Hospital of Xi’an Jiaotong University
| | - Hongbin Yang
- Department of Gastroenterology, The Affiliated Children Hospital of Xi’an Jiaotong University
| | - Shiyang Ma
- Department of Gastroenterology, the Second Affiliated Hospital of Xi’an Jiaotong University, Xi’an, Shaanxi
| | - Quanlin Li
- Zhongshan Hospital, Fudan University, Shanghai, China
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