title: Gastric duplication cyst. Endoscopic presentation as an ulcerated antral mass.
abstract: A case of a 53-year-old man who presented with epigastric pain and weight loss is described. Endoscopy showed a smooth antral mass with what appeared to be a central overlying ulcer. Computerized tomography and upper gastrointestinal series confirmed the presence of a gastric mass. Laparotomy and local resection showed a gastric duplication comprised of two cysts, one with communication to the stomach lumen. Gastric duplication is a rare entity, especially in the adult. Though generally benign, local ulceration or fistula formation can cause symptoms and may suggest a more malignant process that warrants investigation.
authors.affiliation: Surgical Service, Brockton/West Roxbury Veteran's Administration Medical Centre, West Roxbury, Massachusetts.
authors.forename: W A
authors.initials: WA
authors.lastname: Koltun
mesh_terms: D003560:Cysts / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D003937:Diagnosis, Differential; D005743:Gastrectomy; D005773:Gastroscopy; D006801:Humans; D008297:Male; D008875:Middle Aged; D011706:Pyloric Antrum; D013270:Stomach / Q000002:abnormalities* / Q000473:pathology / Q000601:surgery; D013272:Stomach Diseases / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D013276:Stomach Ulcer / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed