J Korean Surg Soc.
2006 Dec;71(6):469-474.
Laparoscopic Resection of Multiple Gastric Duplication Cysts in an Adult
- Affiliations
-
- 1Department of Surgery, Seoul National University College of Medicine, Seoul, Korea. hhkim@snubh.org
- 2Departments of Surgery, Seoul National University Bundang Hospital, Seongnam, Korea.
- 3Departments of Pathology, Seoul National University Bundang Hospital, Seongnam, Korea.
Abstract
- A gastric duplication cyst is an extremely rare developmental anomaly, comprising 2~8% of all alimentary duplication cysts with most being reported in children. However, this condition should be included in a differential diagnosis of partially obstructing cystic masses of the stomach. Moreover, the possibility of a malignancy within it should be considered particularly in adults. The excision of duplication cysts has become feasible with the introduction of laparoscopic gastric surgery. We report a 17-year-old female suffering from postprandial abdominal discomfort and nausea. Two cystic lesions in her stomach were found by preoperatively endoscopic ultrasonography (EUS) and the computed tomography (CT). Laparoscopic wedge resections of the gastric lesions were performed, and the postoperative pathologic examination disclosed multiple gastric duplication cysts with no evidence of a malignancy. The patient made an uneventful postoperative recovery and has remained a asymptomatic for 8 months after surgery.