Gastric duplication cyst masquerading as a mucinous pancreatic cyst: case report and literature review.
Ann R Coll Surg Engl
; 96(1): 88E-90E, 2014 Jan.
Article
in En
| MEDLINE
| ID: mdl-24417851
ABSTRACT
Gastric duplication cysts are rare cystic neoplasms that are often difficult to distinguish from other entities. We describe a healthy 44-year-old woman who presented with acute right lower quadrant abdominal and flank pain as well as chronic nausea and constipation. Her physical examination was unremarkable but contrasted computed tomography revealed a 6 cm cystic lesion between the stomach and body of the pancreas. Endoscopic ultrasonography and fluid analysis were consistent with a mucinous cyst with a markedly elevated fluid carcinoembryonic antigen level. The patient subsequently underwent a laparoscopic distal pancreatectomy, which was converted to an open procedure when the lesion was noted to be adherent to the coeliac axis. Intraoperative endoscopy revealed no abnormality. Final pathology revealed a gastric duplication cyst. The patient recovered well and was asymptomatic on follow-up. In this report, we discuss the incidence, natural history and management of this rare entity.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Stomach
/
Stomach Diseases
/
Cysts
Type of study:
Diagnostic_studies
Limits:
Adult
/
Female
/
Humans
Language:
En
Journal:
Ann R Coll Surg Engl
Year:
2014
Document type:
Article
Affiliation country:
United States