Year: 2025
Type: article
Study design: Case Report
Abstract: Gastric duplication cysts (GDCs) are rare congenital anomalies that can closely resemble other cystic abdominal lesions, particularly pancreatic pseudocysts. We present the case of a 4-year-old girl with progressive abdominal distension, pain, and elevated serum amylase levels. Initial imaging including an abdominal ultrasound, contrast-enhanced computed tomography, and endoscopic ultrasound, suggested a pancreatic pseudocyst, resulting in an endoscopic cystogastrostomy and stent placement. However, post-procedure magnetic resonance cholangiopancreatography revealed a thick-walled cyst with an inner mucosal lining, raising suspicion for a GDC. Surgical excision confirmed the diagnosis, and the patient had an uneventful recovery. This case highlights the diagnostic challenge of differentiating GDCs from pancreatic pseudocysts due to overlapping clinical and imaging features.
Source: Journal of Surgical Case Reports
DOI: 10.1093/jscr/rjaf373
Authors: Dhruv Gandhi, Shivangi Tetarbe, Ira Shah, Pradnya Bendre
Institution: Bai Jerbai Wadia Hospital for Children
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $1,000
OpenAlex ID: W4411777785