title: A gastric duplication cyst with an aberrant pancreatic ductal system: report of a case.
abstract: 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.
authors.affiliation: Department of Surgery, Kagawa Rosai Hospital, Marugame, Japan.
authors.forename: Atsushi
authors.initials: A
authors.lastname: Muraoka
authors.forename: Masaki
authors.initials: M
authors.lastname: Tsuruno
authors.forename: Gotaro
authors.initials: G
authors.lastname: Katsuno
authors.forename: Naohiro
authors.initials: N
authors.lastname: Sato
authors.forename: Toshihiro
authors.initials: T
authors.lastname: Murata
authors.forename: Yasutaka
authors.initials: Y
authors.lastname: Kokudo
authors.forename: Akihiko
authors.initials: A
authors.lastname: Tatemoto
authors.forename: Yoshiyuki
authors.initials: Y
authors.lastname: Sone
authors.forename: Shigeo
authors.initials: S
authors.lastname: Kagawa
authors.forename: Makoto
authors.initials: M
authors.lastname: Tsumura
authors.forename: Koichi
authors.initials: K
authors.lastname: Mizobuchi
mesh_terms: 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