Gastric Duplication Cyst with Macroscopic Serosal Heterotopic Pancreas

  • Anindita Sinha Department of Radiodiagnosis, All India Institute of Medical Sciences. New Delhi, India
  • Sundeep S Saluja Department of Gastrointestinal Surgery, All India Institute of Medical Sciences. New Delhi, India
  • Shivanand Gamanagatti Department of Radiodiagnosis, All India Institute of Medical Sciences. New Delhi, India
Keywords: Abdomen, Congenital Abnormalities, Gastrointestinal Tract, Magnetic Resonance Imaging, Pancreas, Stomach, Tomography, X-Ray Computed, Ultrasonography

Abstract

Context Gastric duplication cysts are often associated with microscopic evidence of ectopic pancreatic tissue on their submucosal surface and, less commonly, on the subserosal surface. Case report We present an unusual case of a gastric duplication cyst with finger-like projections and a large heterotopic pancreas on the serosal surface of the cyst in a 30-year-old female. Conclusion We point out the unusual imaging findings which helped in the preoperative diagnosis.

Image: A two-layered pattern of the wall of the duplication cyst.

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References

Levine MS. Benign tumors of the stomach and duodenum. In: Gore RM, Levine MS, eds. Textbook of Gastrointestinal Radiology. Philadelphia, PA: Saunders Co.; 2000: 575 -600.

Cho JS, Shin KS, Kwon ST, Kim JW, Song CJ, Noh SM, et al. Heterotopic pancreas in the stomach: CT findings. Radiology 2000; 217:139-44. [PMID 11012436]

Rubbia-Brandt L, Huber O, Hadengue A, Frossard JL. An unusual case of gastric heterotopic pancreas. JOP. J Pancreas (Online) 2004; 5:484-7. [PMID 15536286]

Macpherson RI. Gastrointestinal tract duplications: clinical, pathologic, etiologic, and radiologic considerations. Radiographics 1993; 13:1063-80. [PMID 8210590]

Wieczorek RL, Seidman I, Ranson JH, Ruoff M. Congenital duplication of the stomach: case report and review of the English literature. Am J Gastroenterol 1984; 79:597-602. [PMID 6465107]

Bremer JL. Diverticula and duplications of the intestinal tract. Arch Pathol 1944; 38:132-40.

Camoglio FS, Forestieri C, Zanatta C, Capelli P, Pecori S, Marcolongo A, M, et al. Complete pancreatic ectopia in a gastric duplication cyst: a case report and review of the literature. Eur J Pediatr Surg 2004; 14:60-2. [PMID 15024682]

Ayantunde AA, Pinder E, Heath DI. Symptomatic pyloric pancreatic heterotopia: report of three cases and review of the literature. Med Sci Monit 2006; 12:CS49-52. [PMID 16733487]

Pang LC. Pancreatic heterotopia: a reappraisal and clinicopathologic analysis of 32 cases. South Med J 1988; 81:1264-75. [PMID 3051429]

de Krijger RR, Albers MJ, Bogers AJ, Mooi WJ. Heterotopic pancreatic tissue presenting as a solid and cystic lung lesion: a very unusual bronchopulmonary foregut malformation. Pediatr Dev Pathol 2004; 7:204-9. [PMID 15179963]

Barbosa JC, Dockerty M, Waugh JM. Pancreatic heterotopia. Review of the literature and report of 41 authenticated surgical cases of which 25 were clinically significant. Surg Gynecol Obstet 1946; 82:527-42.

Wall I, Shah T, Tangorra M, Li JJ, Tenner S. Giant heterotopic pancreas presenting with massive upper gastrointestinal bleeding. Dig Dis Sci 2007; 52:956-9. [PMID 17342389]

Yen HH, Soon MS, Soon A. Heterotopic pancreas presenting as gastric submucosal cyst on endoscopic sonography. J Clin Ultrasound 2006; 34:203-6. [PMID 16615055]

Lopez-Pelaez MS, Hoyos FB, Isidro MG, Unzurrunzaga EA, Lopez Ede V, Collazo YQ. Cystic dystrophy of heterotopic pancreas in stomach: radiologic and pathologic correlation. Abdom Imaging 2008; 33:391-4. [PMID 17632748]

A two-layered pattern of the wall of the duplication cyst
Published
2010-09-06
How to Cite
SinhaA., SalujaS., & GamanagattiS. (2010). Gastric Duplication Cyst with Macroscopic Serosal Heterotopic Pancreas. JOP. Journal of the Pancreas, 11(5), 470-473. https://doi.org/10.6092/1590-8577/3438