Year 2017 / Volume 109 / Number 8
Case Report
Adult gastric duplication: an unknown condition within the spectrum of gastric submucosal lesions

589-591

DOI: 10.17235/reed.2017.4851/2017

Yurena Caballero Díaz, Macarena Centeno Haro, Ángel Turégano García, Juan Ramón Hernández Hernández,

Abstract
Background: Gastric duplication is an uncommon condition in adults representing only 4-8% of all gastrointestinal duplications. It develops as a cystic growth within the thick gastric wall that is surrounded by a layer of smooth muscle and lined with gastric mucosa. It is usually asymptomatic but may present with nonspecific abdominal symptoms as well as cyst-related complications such as gastrointestinal (GI) bleeding, ulceration and even pancreatitis. They are difficult to distinguish from other gastric submucosal lesions and may also mimic a gastrointestinal tumor (GIST) or mucinous cyst of the pancreas. Endoscopic ultrasound (EUS) is the most widely used diagnostic procedure and histology provides a definitive diagnosis. Case report: We report the case of a 36-year-old female patient with a history of a “contained” perforated gastric ulcer that was managed conservatively. The patient was diagnosed with a gastric GIST which prompted a laparoscopic subtotal gastrectomy and Roux-en-Y reconstruction with a good postoperative outcome. Discussion: The definitive histological diagnosis was gastric duplication. Thus, the previous diagnosis of a “contained” perforated gastric ulcer was in fact a complication of the gastric duplication itself.
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17/05/2021 17:02:43
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Caballero Díaz Y, Centeno Haro M, Turégano García Á, Hernández Hernández J. Adult gastric duplication: an unknown condition within the spectrum of gastric submucosal lesions. 4851/2017


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Publication history

Received: 18/01/2017

Accepted: 03/04/2017

Online First: 19/06/2017

Published: 31/07/2017

Article revision time: 56 days

Article Online First time: 152 days

Article editing time: 194 days


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