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Gastric duplication cyst communicating to accessory pancreatic lobe: A case report and review of the literature

BACKGROUND: The combination of a gastric duplication cyst and duplicated part of the pancreas is an extremely rare developmental defect. The incidence in the population, or the clinical impact thereof, has not been uncovered. Symptoms are unspecific. Surgery is the treatment of choice. Timely diagno...

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Autores principales: Rousek, Michael, Kachlik, David, Nikov, Andrej, Pintova, Jirina, Ryska, Miroslav
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6306634/
https://www.ncbi.nlm.nih.gov/pubmed/30613679
http://dx.doi.org/10.12998/wjcc.v6.i16.1182
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author Rousek, Michael
Kachlik, David
Nikov, Andrej
Pintova, Jirina
Ryska, Miroslav
author_facet Rousek, Michael
Kachlik, David
Nikov, Andrej
Pintova, Jirina
Ryska, Miroslav
author_sort Rousek, Michael
collection PubMed
description BACKGROUND: The combination of a gastric duplication cyst and duplicated part of the pancreas is an extremely rare developmental defect. The incidence in the population, or the clinical impact thereof, has not been uncovered. Symptoms are unspecific. Surgery is the treatment of choice. Timely diagnostics are of utmost importance, albeit they might be challenging at times. Being so rare, case reports are currently the only relevant source of information about the condition. Therefore each published finding is of a clinical impact. CASE SUMMARY: Our work describes the case of a 22 year-old patient, who developed idiopathic acute pancreatitis. A computed tomography scan discovered liquid collection between the antrum of the stomach and the head of the pancreas. Initially, the collection was thought to be a pancreatic pseudocyst. Endoscopic ultrasound-guided transgastric drainage showed to have only a temporary therapeutic effect. Magnetic resonance cholangiopancreatography showed an accessory pancreatic lobe with a separate duct system. The accessory pancreatic lobe exited the body of the pancreas and was in contact with the cystic collection. The patient was indicated for surgical resection. Within the surgery, an en bloc resection of the accessory pancreatic lobe was performed with the antrum of the stomach containing the gastric duplication cyst. No complications were observed in the surgery or thereafter. In the five months follow-up period, the patient was completely symptom free. Histopathological findings confirmed the gastric duplication cyst communicating to accessory pancreatic lobe. CONCLUSION: This developmental defect is extremely rare. It can cause recurrent acute pancreatitis. Diagnostics are challenging. Surgery is treatment of choice.
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spelling pubmed-63066342019-01-04 Gastric duplication cyst communicating to accessory pancreatic lobe: A case report and review of the literature Rousek, Michael Kachlik, David Nikov, Andrej Pintova, Jirina Ryska, Miroslav World J Clin Cases Case Report BACKGROUND: The combination of a gastric duplication cyst and duplicated part of the pancreas is an extremely rare developmental defect. The incidence in the population, or the clinical impact thereof, has not been uncovered. Symptoms are unspecific. Surgery is the treatment of choice. Timely diagnostics are of utmost importance, albeit they might be challenging at times. Being so rare, case reports are currently the only relevant source of information about the condition. Therefore each published finding is of a clinical impact. CASE SUMMARY: Our work describes the case of a 22 year-old patient, who developed idiopathic acute pancreatitis. A computed tomography scan discovered liquid collection between the antrum of the stomach and the head of the pancreas. Initially, the collection was thought to be a pancreatic pseudocyst. Endoscopic ultrasound-guided transgastric drainage showed to have only a temporary therapeutic effect. Magnetic resonance cholangiopancreatography showed an accessory pancreatic lobe with a separate duct system. The accessory pancreatic lobe exited the body of the pancreas and was in contact with the cystic collection. The patient was indicated for surgical resection. Within the surgery, an en bloc resection of the accessory pancreatic lobe was performed with the antrum of the stomach containing the gastric duplication cyst. No complications were observed in the surgery or thereafter. In the five months follow-up period, the patient was completely symptom free. Histopathological findings confirmed the gastric duplication cyst communicating to accessory pancreatic lobe. CONCLUSION: This developmental defect is extremely rare. It can cause recurrent acute pancreatitis. Diagnostics are challenging. Surgery is treatment of choice. Baishideng Publishing Group Inc 2018-12-26 2018-12-26 /pmc/articles/PMC6306634/ /pubmed/30613679 http://dx.doi.org/10.12998/wjcc.v6.i16.1182 Text en ©The Author(s) 2018. Published by Baishideng Publishing Group Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial.
spellingShingle Case Report
Rousek, Michael
Kachlik, David
Nikov, Andrej
Pintova, Jirina
Ryska, Miroslav
Gastric duplication cyst communicating to accessory pancreatic lobe: A case report and review of the literature
title Gastric duplication cyst communicating to accessory pancreatic lobe: A case report and review of the literature
title_full Gastric duplication cyst communicating to accessory pancreatic lobe: A case report and review of the literature
title_fullStr Gastric duplication cyst communicating to accessory pancreatic lobe: A case report and review of the literature
title_full_unstemmed Gastric duplication cyst communicating to accessory pancreatic lobe: A case report and review of the literature
title_short Gastric duplication cyst communicating to accessory pancreatic lobe: A case report and review of the literature
title_sort gastric duplication cyst communicating to accessory pancreatic lobe: a case report and review of the literature
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6306634/
https://www.ncbi.nlm.nih.gov/pubmed/30613679
http://dx.doi.org/10.12998/wjcc.v6.i16.1182
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