Gastric antral duplication cyst: A case report

  • Kaniz Fathema BSMMU
  • MD. Benzamin BSMMU
  • Fahmida Begum BSMMU
  • Fahmina khanam
  • Md Mahamudul Hasan
  • Mizu Ahmed BSMMU
  • Md Wahiduzzaman Mazumder BSMMU
  • Salahuddin Al Azad BSMMU
  • Bishnu Pada Dey BSMMU
  • A S M Bazlul Karim BSMMU
DOI: https://doi.org/10.14238/pi61.5.2021.287-90
Keywords: : antral duplication cyst; children; congenital

Abstract

Alimentary tract duplications may be symptomatic or may be discovered incidentally. They are named for the organ with which they are associated.1 Congenital gastrointestinal (GI) tract duplication cysts are commonly located in the ileum (53%), mediastinum (18%), colon (13%), stomach (7%), duodenum (6%), rectum (4%), or oesophagus (2%)2. A single theory is insufficient to explain all types of duplications.3 Children may present with symptoms like vomiting, abdominal pain, lumps, or weight loss.4 The presence of ectopic gastric mucosa and the potential for malignancy remain matters of concern.2 Surgical management is essential for these rare cysts.5 We encountered a Bangladeshi boy with a gastric duplication cyst (GDC) that was pre-operatively diagnosed as a pancreatic cyst. A variety of imaging modalities failed to indicate GDC before the operation. Here we present the clinical course of the case and discuss the difficulties and problems in diagnosing GDC.

Author Biographies

MD. Benzamin, BSMMU
  1. Resident (phase-B), Department of Pediatric Gastroenterology and Nutrition, Bangabandhu Sheikh Mujib Medical University(BSMMU), Dhaka, Bangladesh.
Fahmida Begum, BSMMU
  1. Associate Professor, Department of Pediatric Gastroenterology and Nutrition, Bangabandhu Sheikh Mujib Medical University(BSMMU), Dhaka, Bangladesh.
Fahmina khanam
  1. Resident (phase-B), Department of Pediatric Gastroenterology and Nutrition, Bangabandhu Sheikh Mujib Medical University(BSMMU), Dhaka, Bangladesh.
Md Mahamudul Hasan
  1. Resident (phase-B), Department of Pediatric Gastroenterology and Nutrition, Bangabandhu Sheikh Mujib Medical University(BSMMU), Dhaka, Bangladesh.
Mizu Ahmed, BSMMU
  1.  Department of Dermatology, Bangabandhu Sheikh Mujib Medical University(BSMMU), Dhaka, Bangladesh.
Md Wahiduzzaman Mazumder, BSMMU
  1. Associate Professor, Department of Pediatric Gastroenterology and Nutrition, Bangabandhu Sheikh Mujib Medical University(BSMMU), Dhaka, Bangladesh.
Salahuddin Al Azad, BSMMU
  1. Professor, Department of Radiology and Imaging, Bangabandhu Sheikh Mujib Medical University(BSMMU), Dhaka, Bangladesh.
Bishnu Pada Dey, BSMMU
  1. Assistant professor, Department of Pathology, Bangabandhu Sheikh Mujib Medical University(BSMMU), Dhaka, Bangladesh.
A S M Bazlul Karim, BSMMU
  1. Chairman and Professor, Department of Pediatric Gastroenterology and Nutrition, Bangabandhu Sheikh Mujib Medical University(BSMMU), Dhaka, Bangladesh.

References

1. Kuraoka K, Nakayama H, Kagawa T, Ichikawa T, Yasui W. Adenocarcinoma arising from a gastric duplication cyst with invasion to the stomach: a case report with literature review. J Clin Pathol. 2004;57:428–31. DOI: doi: 10.1136/jcp.2003.013946.
2. Balakrishnan K, Fonacier F, Sood S, Bamji N, Bostwick H, Stringel G. Foregut duplication cysts in children. JSLS. 2017;21:e2017.00017. DOI: 10.4293/JSLS.2017.00017
3. Kim DH, Kim JS, Nam ES, Shin HS. Foregut duplication cyst of the stomach. Pathol Int. 2000;50:142–5. 01.DOI.ORG/10.1046/J.1440-1827.2000.01008.X
4. Wieczorek RL, Seidman I, Ranson JH, Ruoff M. Congenital duplication of the stomach, case report and review of the English literature. Am J Gastroenterol. 1984;79:597-602.PMID: 6465107.
5. Endo K, Maede K, Mishima Y, Tamaki A, Takemoto J, Morita K, et al. A case of ileocaecal duplication cyst protruding into the intestinal lumen enucleated via an anti-mesenteric approach. J Pediatr Surg Case Reports. 2016;15:10-13. DOI: 10.1016/J.EPSC.2016.09.012
6. Laraja RD, Rothenberg RE, Chapman J, Imran-ul-Haq, Sabatini MT. Foregut duplication cyst: a report of a case. Am Surg. 1995;61:840–1. PMID: 7661487.
7. Johnston J, Wheatley GH, El Sayed HF, Marsh WB, Ellison EC, Bloomston M. Gastric duplication cysts expressing carcinoembryonic antigen mimicking cystic pancreatic neoplasms in two adults. Am Surg. 2008;74:91–4. PMID: 18274440.
8. Murakami S, Isozaki H, Shou T, Sakai K, Toyota H. Foregut duplication cyst of the stomach with pseudostratified columnar ciliated epithelium. Pathol Int. 2008;58:187–90. DOI: 10.1111/j.1440-1827.2007.02209.x .
9. Mardi K, Kaushal V, Gupta S. Foregut duplication cysts of stomach masquerading as leiomyoma. Indian J Pathol Microbiol. 2010;53:160–1. DOI: 10.4103/0377-4929.59214.
10. D’Journo XB, Moutardier V, Turrini O, Guiramand J, Lelong B, Pesenti C, et al. Gastric duplication in an adult mimicking mucinous cyst adenoma of the pancreas. J Clin Pathol. 2004;57:1215–8. DOI: 10.1136/jcp.2004.019091.
11. Perek A, Perek S, Kapan M, Goksoy E. Gastric duplication cyst. Dig Surg. 2000;17:634-6. DOI: 10.1159/000051975.
12. Singh JP, Rajdeo H, Bhuta K, Savino JA. Gastric duplication cyst: two case reports and review of the literature. Case Rep Surg. 2013;2013:605059. DOI: 10.1155/2013/605059.
13. Ferrari AP Jr, Van Dam J, Carr-Locke DL. Endoscopic needle aspiration of a gastric duplication cyst. Endoscopy. 1995;27:270-2. DOI: 10.1055/s-2007-1005683.
14. Vali R, Charron M. Imaging: radionuclide scintigraphy. Kleinman RE, Goulet OJ, Mieli-Vergani G, Sanderson IR, Sherman PM, Shneider B, editors. Walker’s pediatric gastrointestinal disease, 6th ed. Raleigh: People’s Medical Publishing House; 2018. p. 5432-59.
15. Maeda H, Okabayashi T, Nishimori I, Kobayashi M, Morimoto K, Miyaji E, et al. Diagnostic challenge to distinguish gastric duplication cyst from pancreatic cystic lesions in adult. Intern Med. 2007;46:1101–4. DOI: 10.2169/internalmedicine.46.0009.
16. Guibaud L, Fouque P, Genin G, Valette PJ, Frering V, Partensky C. Case report. CT and ultrasound of gastric and duodenal duplications. J Comput Assist Tomogr. 1996;20:382-5. DOI: 10.1097/00004728-199605000-00010.
17. Fletcher JD, Covell L, Shortsleeve MJ. Calcified gastric duplication. AJR Am J Roentgenol. 1994;163:994-5. DOI: 10.2214/ajr.163.4.8092058.
18. Horne G, Ming-Lum C, Kirkpatrick AW, Parker RL. High-grade neuroendocrine carcinoma arising in a gastric duplication cyst: a case report with literature review. Int J Surg Pathol. 2007;15:187-91. DOI: 10.1177/1066896906295777.
19. Ford WD, Guelfand M, López PJ, Furness ME. Laparoscopic excision of a gastric duplication cyst detected on antenatal ultrasound scan. J Pediatr Surg. 2004;39:8-10. DOI: 10.1016/j.jpedsurg.2004.06.044.
20. Theodosopoulos T, Marinis A, Karapanos K, Vassilikostas G, Dafnios N, Samanides L, et al. Foregut duplication cysts of the stomach with respiratory epithelium. World J Gastroenterol. 2007;13:1279–81. DOI: 10.3748/wjg.v13.i8.1279.
Published
2021-10-04
How to Cite
1.
Fathema K, Benzamin M, Begum F, khanam F, Hasan M, Ahmed M, Mazumder M, Azad S, Dey B, Karim ASM. Gastric antral duplication cyst: A case report. PI [Internet]. 4Oct.2021 [cited 31Oct.2024];61(5):287-0. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/2380
Issue
Vol 61 No 5 (2021): September 2021
Section
Case Report

Copyright (c) 2021 Kaniz Fathema, MD. Benzamin, Fahmida Begum, Fahmina khanam, Md Mahamudul Hasan, Mizu Ahmed, Md Wahiduzzaman Mazumder, Salahuddin Al Azad, Bishnu Pada Dey, A S M Bazlul Karim

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Authors who publish with this journal agree to the following terms:

Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

Received 2020-01-28
Accepted 2021-09-20
Published 2021-10-04