A prenatally diagnosed gastric duplication cyst connecting the pancreatic duct and paraspinal region

The gastrointestinal duplication of stomach is uncommon congenital anomalies of gastrointestinal tract. Herein a rare case of gastric duplication with newborn is being reported. A 14-day-old term female baby was admitted to our clinic with intermittent bilious vomiting and abdominal distention. In evaluation, abdominal cystic mass was detected in the left upper quadrant. The cyst which was attached to both the pancreatic duct and spinal cord was removed totally by laparotomy. A histologic examination showed gastric duplication cyst. The postoperative course was uneventful. There were no any complications at the 8-month follow-up period. This rare entity should be included in the differential diagnosis of cystic masses of the gastrointestinal tract and treated surgically by complete resection due to the risk of malignant transformation and other complications. This is the first case report that the gastric duplication cyst has a connection with both the pancreatic duct and spinal cord. 

___

  • [1] Dennis P. Lund. Alimentary Tract Duplications. In: Coran AG, Adzick NS, Krummel TM, Laberge JM, Shamberger RC, Caldamone AA, eds. Pediatric Surgery. Philadelphia, US: Elsevier Saunders, 2012:1155-63.
  • [2] Jesrani AK, Yunus M, Zafar A, Faiq SM, Naeem S, Naqvi A. Gastric duplication cyst - a rare cause of gastric outlet obstruction. PJR 2011;21:75-6.
  • [3] Qinghua L, Shoucai W, Xiaofang L, Xincun Z, Lili M. Ultrasonographic diagnosis of congenital membranous jejunal stenosis and gastric duplication cyst in a newborn: a case report. J Med Case Rep 2015;9:162.
  • [4] Singh JP, Rajdeo H, Bhuta K, Savino JA. Gastric duplication cyst: two case reports and review of theliterature. Case Rep Surg 2013;2013:605059.
  • [5] Khong PL, Cheung SC, Leong LL, Ooi CG. Ultrasonography of intraabdominal cystic lesions in the newborn. Clin Radiol 2003;58:449-54.
  • [6] Hishiki T, Saito T, Terui K, Mitsunaga T, Nakata M, Matsuura G, et al. A rare presentation in a case of gastric duplication cyst communicating to the pancreatic duct: coincidental detection during pyloromyotomy for hypertrophic pyloric stenosis. J Pediatr Surg 2008;43:e1-3.
  • [7] Lewitowicz P, Matykiewicz J, Koziel D, Gluszek SZ, Sosnowski Z, Horecka-Lewitowicz A, et al. Gastric gastrointestinal stromal tumor with incomplete duplication cyst - a case with possibility of neoplasia in fetal-period malformed tissues. Pol J Pathol 2015;66:86-91.
  • [8] Johnston J, Wheatley GH 3rd, El Sayed HF, Marsh WB, Ellison EC, Bloomstone M. Gastric duplication cysts expressing carcinoembryonic antigen mimicking cystic pancreatic neoplasms in two adults. Am Surg 2008;74:91-4.
  • [9] D'Journo XB, Moutardier V, Turrini O, Guiramand J, Lelong B, Pesenti C, et al. Gastric duplication in an adult mimicking mucinous cystadenoma of the pancreas. J Clin Pathol 2004;57:1215-8.