Recurrent acute pancreatitis caused by a gastric duplication cyst communicating with an aberrant pancreatic duct.
A 38-year-old woman was hospitalized in August 2007. This visit was her fifth episode of acute pancreatitis. Computed tomography revealed a cystic structure located near the antrum. Communication between this structure and the pancreatic duct was revealed by endoscopic retrograde cholangiopancreatography. Ultrasonography revealed that the cyst wall had a layered structure. Thus, we regarded it as a gastric duplication cyst. We thought that the gastric duplication cyst communicating with an aberrant pancreatic duct was responsible for the recurrent acute pancreatitis. In August 2008, a cyst gastrostomy was performed between the gastric duplication cyst and the stomach. No recurrence of acute pancreatitis has since occurred.
Oeda
Satoshi
S
Department of Internal Medicine, Saga Prefectural Hospital, Saga, Japan. ooedasa@cc.saga-u.ac.jp
Otsuka
Taiga
T
Akiyama
Takumi
T
Ario
Keisuke
K
Masuda
Masanori
M
Taguchi
Shohei
S
Shono
Takeshi
T
Kawazoe
Seiji
S
D000208:Acute Disease; D000328:Adult; D003560:Cysts / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D005260:Female; D005753:Gastric Mucosa / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D010183:Pancreatic Ducts / Q000002:abnormalities* / Q000601:surgery; D010195:Pancreatitis / Q000000981:diagnostic imaging* / Q000517:prevention & control / Q000601:surgery; D011706:Pyloric Antrum / Q000000981:diagnostic imaging* / Q000601:surgery; D055502:Secondary Prevention; D014463:Ultrasonography