A gastric duplication cyst with an aberrant pancreatic ductal system: report of a case.
We report an extremely rare case of a gastric duplication cyst together with an aberrant pancreatic ductal system, which communicated with the stomach rather than the pancreatic ductal system with no evidence of pancreatitis. A 46-year-old woman developed severe abdominal pain after a 10-year history of occasional mild abdominal pain. Upper gastrointestinal barium radiography showed a rigidity of the stomach wall, and gastroscopy revealed a fistula orifice at a greater curvature of the gastric body. Subsequent endoscopic suction of mucous secretion from within the fistula provided immediate pain relief. Abdominal computed tomography and ultrasonography showed a cystic mass contiguous with the stomach wall. Surgical exploration revealed an uncommon anomaly of a gastric duplication cyst with the aberrant pancreatic lobe. The patient made an uneventful recovery and remains well 4 years after surgery. We also herein review ten other similar cases of this uncommon congenital anomaly reported in the literature.
Muraoka
Atsushi
A
Department of Surgery, Kagawa Rosai Hospital, Marugame, Japan.
Tsuruno
Masaki
M
Katsuno
Gotaro
G
Sato
Naohiro
N
Murata
Toshihiro
T
Kokudo
Yasutaka
Y
Tatemoto
Akihiko
A
Sone
Yoshiyuki
Y
Kagawa
Shigeo
S
Tsumura
Makoto
M
Mizobuchi
Koichi
K
D003560:Cysts / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D010183:Pancreatic Ducts / Q000002:abnormalities*; D013272:Stomach Diseases / Q000150:complications* / Q000175:diagnosis / Q000601:surgery