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Total Laparoscopic Treatment of an Adult Gastric Duplication Cyst with Intrapancreatic Extension

Challenging differential diagnosis, Rare disease, Educational Purpose (only if useful for a systematic review or synthesis)

Theodoros Thomopoulos, Coppelia Farin, Benoit Navez

Oesogastroduodenal and Bariatric Unit, Department of Abdominal Surgery and Transplantation, Cliniques Universitaires Saint-Luc, Brussels, Belgium

Am J Case Rep 2016; 17:352-356

DOI: 10.12659/AJCR.897642

Available online:

Published: 2016-05-25

BACKGROUND: Gastric duplication is a rare malformation mostly diagnosed during childhood. Symptoms in adults are atypical, rare, or may be completely absent. The diagnosis is suggested after a morphological and histological assessment. The treatment is a complete surgical resection.
CASE REPORT: We report on a case of a 28-year-old woman referred to our unit for a surgical assessment of a gastric duplication of the antropyloric area associated with paraduodenal and pancreatic extensions, diagnosed by several image tools and histological confirmation. She had undergone a total laparoscopic resection of the duplication without violation of the gastric lumen or any other splanchnic injury. The postoperative course was uneventful and the patient was discharged on postoperative day seven without any complains.
CONCLUSIONS: The present report illustrates that complete resection of a distal gastric duplication is feasible by a laparoscopic minimal invasive procedure and therefore is considered to be a safe therapeutic modality. Our case is the first distal gastric duplication cyst with pancreatic and paraduodenal extension reported in the literature completely resected by laparoscopic approach.

Keywords: Cysts - surgery, Adult, Laparoscopy, Pancreatic Cyst - surgery, Stomach - abnormalities, Stomach Diseases - surgery