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Published on: September 22, 2023
Gastric Duplication in an Adult Female: A Challenging Diagnosis
Ariadni Fouza1, Ioannis Gkoutziotis1, Savvas Tsaramanidis1
15th Surgical Department, Ippokrateio General Hospital, Aristotle University of Thessaloniki, Thessaloniki, GRC.
Insights
Gastric duplication cysts are rare congenital anomalies. This case highlights a rare instance of a gastric duplication cyst diagnosed in a 29-year-old female, presenting with symptoms mimicking pyloric stenosis.
Area of Science:
- Gastroenterology
- Pediatric Surgery
- Surgical Pathology
Background:
- Gastrointestinal duplications are rare congenital anomalies affecting any part of the digestive tract.
- Gastric duplications constitute 2-8% of all gastrointestinal duplications.
- Most gastric duplications are diagnosed in infancy.
Observation:
- A 29-year-old female presented with epigastric pain and vomiting.
- Preoperative imaging suggested pyloric stenosis.
- Intraoperative findings revealed a large mass attached to the greater curvature of the stomach.
Findings:
- Histopathological examination confirmed the mass as a gastric duplication cyst.
- This case represents a rare late diagnosis of a gastric duplication cyst.
Implications:
- Delayed diagnosis of gastric duplication cysts can occur, even in adulthood.
- Accurate preoperative diagnosis is crucial for appropriate surgical planning.
- This case underscores the importance of considering rare diagnoses in patients with persistent gastrointestinal symptoms.
Abstract:
Gastrointestinal duplications can be found in all parts of the gastrointestinal tract. Duplications of the stomach comprise 2-8% of all duplications and are mostly diagnosed during the first year of life. We present a case of a gastric duplication cyst in a 29-year-old female, presenting with epigastric pain and vomiting. Preoperative diagnosis was assumed to be pyloric stenosis. Intraoperatively, a large mass that was attached to the greater curvature was found. Histopathology results were consistent with gastric duplication cyst.
