Accessory pancreatic lobe in association with a gastric duplication cyst

Samuel A Shabtaie1, Juan C Infante2, Gary Danton2

  • 1Division of Pediatric Surgery, DeWitt Daughtry Family Department of Surgery, University of Miami Miller School of Medicine, Miami, FL.

Insights

Gastric duplication cysts are rare, sometimes mimicking pancreatic pseudocysts. This case highlights an accessory pancreatic lobe connected to a gastric duplication cyst in a child, successfully treated with surgery.

Area of Science:

  • Gastroenterology
  • Pediatric Surgery
  • Surgical Pathology

Background:

  • Gastric duplication cysts are rare congenital anomalies.
  • Association with accessory pancreatic tissue is exceptionally uncommon.
  • Clinical presentation can mimic pancreatic pseudocysts, complicating diagnosis.

Purpose of the Study:

  • To report a rare case of gastric duplication cyst associated with accessory pancreatic tissue.
  • To discuss diagnostic challenges in pediatric recurrent pancreatitis.
  • To highlight successful surgical management.

Main Methods:

  • Case report of a 6-year-old boy with recurrent pancreatitis.
  • Diagnostic workup including imaging and endoscopic evaluation.
  • Surgical excision of the identified anomaly.

Main Results:

  • The patient presented with multiple episodes of pancreatitis.
  • An accessory pancreatic lobe connected to a gastric duplication cyst was identified.
  • Complete surgical excision led to successful resolution of symptoms.

Conclusions:

  • Gastric duplication cysts with accessory pancreatic tissue are a rare cause of pediatric pancreatitis.
  • Accurate diagnosis requires high clinical suspicion and comprehensive evaluation.
  • Surgical excision is an effective treatment for this rare condition.