Gastric duplication cyst masquerading as a mucinous pancreatic cyst: Case report and literature review

C. E. Bailey, M. A. Fritz, L. Webb, N. B. Merchant, Alexander A. Parikh

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Gastric duplication cysts are rare cystic neoplasms that are often difficult to distinguish from other entities. We describe a healthy 44-year-old woman who presented with acute right lower quadrant abdominal and flank pain as well as chronic nausea and constipation. Her physical examination was unremarkable but contrasted computed tomography revealed a 6cm cystic lesion between the stomach and body of the pancreas. Endoscopic ultrasonography and fluid analysis were consistent with a mucinous cyst with a markedly elevated fluid carcinoembryonic antigen level. The patient subsequently underwent a laparoscopic distal pancreatectomy, which was converted to an open procedure when the lesion was noted to be adherent to the coeliac axis. Intraoperative endoscopy revealed no abnormality. Final pathology revealed a gastric duplication cyst. The patient recovered well and was asymptomatic on follow-up. In this report, we discuss the incidence, natural history and management of this rare entity.

Original languageEnglish (US)
JournalAnnals of the Royal College of Surgeons of England
Volume96
Issue number1
DOIs
StatePublished - Jan 2014
Externally publishedYes

Keywords

  • Carcinoembryonic antigen
  • Duplication
  • Mucinous cyst
  • Pancreatic cyst

ASJC Scopus subject areas

  • Surgery

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