• Journal of Gastric Cancer
• /
• 제15권1호
• /
• pp.58-63
• /
• 2015

Gastric duplication cyst is a rare congenital anomaly of the gastrointestinal tract and is especially uncommon in adults. Most cases in adults are discovered incidentally on radiological examination or gastric endoscopy. Accurate diagnosis of these cysts before resection is difficult. Differential diagnoses are varied. Malignant transformation of a gastric duplication cyst is very rare. We present three cases of asymptomatic noncommunicating gastric duplication cysts in adults.

• Pediatric Gastroenterology, Hepatology & Nutrition
• /
• 제22권2호
• /
• pp.189-192
• /
• 2019

Gastric duplication cysts (GDCs) are rare congenital anomalies. Presentation of GDCs varies from an asymptomatic abdominal mass to fulminant or massive gastrointestinal (GI) bleeding. Herein, we describe a case of a GDC in a 10-month-old infant presenting with unexplained massive GI hemorrhage and hematemesis. An abdominal ultrasound was negative, while computerized tomography was, initially, inaccessible. Through a series of repeated esophagogastroduodenoscopies, we documented penetration of the GDC into the gastric cavity that was later confirmed by computerized tomography. The patient was treated successfully with surgical resection.

• Pediatric Gastroenterology, Hepatology & Nutrition
• /
• 제20권2호
• /
• pp.94-99
• /
• 2017

Purpose: Abdominal cysts of gastrointestinal origin are rare. Their rarity and varied clinical presentations make their pre-operative diagnosis difficult. Methods: Fourteen patients with histological diagnosis of cysts of gastrointestinal origin admitted between 2009 and 2015 were retrospectively analyzed with respect to age, sex, clinical presentation, diagnostic modality, site and type of cyst, management, outcome and follow-up. Results: The mean age at presentation was 4 years and there were six males and eight females. Abdominal pain was the most common presenting symptom. Five patients had an acute presentation-three had distal ileal mesenteric cysts and two had ileal duplication cyst sharing a common wall with ileum. Six patients presented with chronic abdominal pain and lump-three patients had omental cysts and three had mesenteric cysts-two of these in distal ileum and one in sigmoid colon. Two patients presented with antenatally diagnosed palpable abdominal lump. One had a mesenteric cyst of the ileum and the other had a distal ileal duplication cyst which required excision with resection and anastomosis. One patient had an atypical presentation. He was a known case of sickle cell trait and had presented with vague abdominal pain, recurrent cough and multiple episodes of haemoptysis over a period of one year. At laparotomy, gastric duplication cyst was found which was excised completely. Histopathology confirmed the diagnosis. Conclusion: Cysts of gastrointestinal origin are rare and have varied presentation. Surgical excision is the mainstay of treatment. The results and prognosis are good.

• 한국임상수의학회지
• /
• 제28권5호
• /
• pp.546-548
• /
• 2011

위장관계 폐쇄가 있는 선천성 중복낭종은 사람과 동물에서 아주 드물게 발생한다. 생후 5일령의 한우 송아지가 초유를 한번 섭취한 후 식욕부진과 무배변 등의 임상증상으로 본 대학병원에 내원하였다. 시험적 개복술에서 십이지장 근위부위에 장간막 반대측 벽내에서 난원형의 종괴($16{\times}7$ cm)를 확인하였다. 종괴의 장막층을 절개하여 수양성 내용물을 흡인한 후, 종괴 내강을 통과하여 십이지장 점막을 절개하였고, 상하부 위장관계의 개통성을 확인하였다. 송아지는 수술 후 회복하여 수술 3개월 후에도 특별한 임상증상은 없었다.

• Pediatric Gastroenterology, Hepatology & Nutrition
• /
• 제13권1호
• /
• pp.75-80
• /
• 2010

장중첩증이 재발한 15개월 여아에서 초음파 검사에서 병적 선두로 생각되는 낭성 종괴를 확인하였고 이중벽 징후와 인접한 소장 사이에 Y자 형상의 저반향 경계를 가지고 있어 중복 낭종으로 의심하였다. 이후 절제술을 시행하여 조직병리검사에서 인접한 회장과 근육층을 공유하고 낭종의 바깥쪽으로는 인접한 장 점막상피 조직과 안쪽으로는 이소성 위 점막 조직이 관찰되는 중복 낭종으로 확진되어 문헌 고찰과 함께 보고하는 바이다.