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Gastric duplication cyst or pancreatic pseudocyst: a diagnostic dilemma

Dhruv Gandhi1, Shivangi Tetarbe1, Ira Shah1

  • 1Department of Pediatric Gastroenterology and Hepatology, BJ Wadia Hospital for Children, Parel, Mumbai, Maharashtra-400014, India.

Journal of Surgical Case Reports
|June 30, 2025
PubMed

Insights

Gastric duplication cysts (GDCs) can mimic pancreatic pseudocysts, posing a diagnostic challenge. This case underscores the importance of advanced imaging in distinguishing these rare congenital anomalies for accurate treatment.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Congenital Anomalies

Background:

  • Gastric duplication cysts (GDCs) are rare congenital anomalies.
  • They can present with symptoms overlapping other abdominal cystic lesions.
  • Differentiating GDCs from pancreatic pseudocysts is clinically significant.

Observation:

  • A 4-year-old girl presented with abdominal pain and distension.
  • Initial imaging suggested a pancreatic pseudocyst, leading to endoscopic intervention.
  • Subsequent MRI revealed features suspicious for a GDC.

Findings:

  • The patient was diagnosed with a gastric duplication cyst.
  • Diagnostic confusion arose from similar clinical and initial imaging findings to pancreatic pseudocysts.
  • Advanced imaging (MRCP) was crucial for correct diagnosis.

Implications:

  • This case highlights the diagnostic challenges in differentiating GDCs from pancreatic pseudocysts.
  • It emphasizes the utility of advanced imaging modalities like MRCP.
  • Accurate diagnosis is essential for appropriate management and surgical planning of GDCs.

Keywords:
abdominal masscystic abdominal lesionsendoscopic ultrasoundgastrointestinal duplicationsmagnetic resonance cholangiopancreatography

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