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Gastric Duplication Cyst with Respiratory Epithelium: a Rare Entity
S Laurent1, M Vivario, F Lardinois
1Department of Abdominal Surgery CHPLT Verviers, Verviers, Belgium.
Acta Chirurgica Belgica
|November 13, 2015
Summary
Gastric duplication cysts are rare, often presenting with vague symptoms and delayed diagnosis. This case highlights a rare instance of respiratory ciliated epithelium in a gastric duplication cyst, emphasizing the need for thorough histopathological examination.
Area of Science:
- Gastroenterology
- Surgical Pathology
- Developmental Biology
Background:
- Gastric duplication cysts (GDCs) are rare congenital anomalies, typically managed surgically.
- Diagnosis is frequently delayed due to non-specific presenting symptoms.
Observation:
- A 23-year-old male presented with an incidentally discovered retro-gastric mass.
- The mass showed interval growth and was associated with cholelithiasis.
- Initial imaging, including MRI, was inconclusive, while endoscopic ultrasound suggested a gastrointestinal stromal tumor (GIST).
Findings:
- Laparoscopic resection revealed a gastric duplication cyst.
- Histopathology demonstrated a rare differentiation with both gastric and respiratory ciliated epithelium.
- This represents the 25th reported case of GDC in the literature.
Implications:
- This case underscores the diagnostic challenges associated with GDCs.
- The rare respiratory differentiation highlights the spectrum of GDC presentations.
- Accurate diagnosis and surgical management are crucial for these uncommon entities.
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