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Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
[Gastric duplication in adults: a case report and literature review]
H Medina-Franco1, M A Ramírez-Luna, F Cabrera-Mendoza
1Departamento de Cirugía, Sección de Cirugía Oncológica, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán. herimd@hotmail.com
Insights
Congenital gastric duplication, a rare condition, can manifest in adulthood presenting as a stomach mass. This case report details a 41-year-old woman diagnosed and successfully treated for this rare congenital malformation.
Area of Science:
- Gastroenterology
- Pediatric Surgery
- Surgical Pathology
Background:
- Gastrointestinal (GI) duplications are rare congenital anomalies.
- Typically diagnosed within the first two years of life.
- Often present with poor weight gain and abdominal masses.
Observation:
- A 41-year-old woman presented with upper abdominal pain.
- Endoscopy revealed a submucosal gastric mass, initially suspected as a gastrointestinal stromal tumor.
- Endoscopic ultrasound confirmed a partially cystic submucosal mass.
Findings:
- The gastric mass was surgically resected via distal gastric wedge resection.
- Histopathological examination confirmed the diagnosis of congenital gastric duplication.
- The patient experienced an uncomplicated recovery post-surgery.
Implications:
- This case highlights that congenital gastric duplication can present in adulthood.
- It underscores the importance of considering rare congenital anomalies in adult diagnoses.
- Successful surgical management is feasible for adult-presenting gastric duplications.
Abstract:
Duplications of the gastrointestinal tract are a rare congenital malformations that usually presents in the first 2 years of life with symptoms of poor weight gain and abdominal palpable mass. The present is a case report of 41 year-old woman who was evaluated for upper abdominal pain. Upper endoscopy revealed a submucosal mass in the greater curvature of the stomach with initial suspect diagnosis of gastrointestinal stromal tumor. Endoscopic ultrasound confirmed partially cystic submucosal mass which was removed with a distal gastric wedge resection without complications. Histopathological report was congenital gastric duplication.
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