[Gastric duplication or pancreatic pseudocyst. Diagnostic difficulties apropos of a case].
Gastric duplication was diagnosed in a 50 year-old patient who was initially thought to have a pancreatic pseudo-cyst until laparotomy was performed. There are many clinical and radiological similarities between gastric duplication and pancreatic pseudo-cyst. However, the following elements can suggest the diagnosis of gastric duplication in the case of the discovery of a cystic mass in the gastric or pancreatic area: normal pancreatic enzyme levels, ultrasonic identification of a hyperechoic inner rim and a hypoechoic outer rim with peristaltic movements into the cyst, visualization of a communication between the cyst and the gastro-intestinal tract, and detection of associated vertebral abnormalities. Surgical treatment of gastric duplication is only necessary in symptomatic cases.
Rullier
E
E
Service de Chirurgie Viscérale, Hôpital Saint-André, Bordeaux.
Carles
J
J
Zerbib
F
F
Chaussende
C
C
Saric
J
J
D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008875:Middle Aged; D010192:Pancreatic Pseudocyst / Q000175:diagnosis; D013270:Stomach / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D013272:Stomach Diseases / Q000000981:diagnostic imaging* / Q000601:surgery; D014057:Tomography, X-Ray Computed
Duplication gastrique ou pseudo-kyste pancréatique. Difficultés diagnostiques à propos d'un cas.