Korean J Gastroenterol.
1997 Jan;29(1):118-121.
A Case of Gastic Duplication Masquerading as Gastric Submucosal Tumor
Abstract
- Enteric duplications are rare congenital anomalies. These are eharacterized by finn attachment to at least one point of the alirnentary tract and a well-developed coat of smooth muscle, and the epithelial lining always resembles some part of the alinentaty tract. Stomach is the least frequent location for these anomalies. The vast majority of patients with gastric duplication presented in infancy have an abdominal mass causing pain, upper gastrointestinal obstruetion, and failure to thrive. However, some cases have not been diagnosed until later in childhood. To date, fewer than 20 eases of gastric duplication have been diagnosed in adults. The present case is a 51 year-old male presenting with mild upper abdominal discomfort for a few years. A gastroscopy revealed an about 1.5 x 1.5 cm sized round protruding rnass with smooth surface of normal mucosa at the lesser curvature of gastric antrum, which was removed by surgical operation. Postoperative pathologic examination disclosed a gastric duplication which was a muscle-coated, cystic and tubular structure invested with a common musculature on gross finding, and was lined with a gastric mucosa on microscopie finding.
