| A Case of Multiple Gastric Duplication Cysts Presented with Melena |
| Seok Hyung Kang, M.D., Ki-Nam Shim, M.D., Chung Hyun Tae, M.D., Hye-Kyung Jung, M.D., Sung-Ae Jung, M.D.,
Sun Wha Lee, M.D.*, Joo-Ho Lee, M.D.† and Sun Hee Sung, M.D.‡ |
| Departments of Internal Medicine, *Radiology, †Surgery and ‡Pathology, Ewha Medical Research Institute, Ewha Womans
University School of Medicine, Seoul, Korea |
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| Abstract |
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A gastric duplication cyst is a rare congenital anomaly. Among gastrointestinal
duplication cysts, gastric duplication cyst account for only 3.8%. They tend to be
symptomatic in early childhood, but asymptomatic during adulthood. So its
diagnosis is incidental. Abdominal pain is the most common complaint in adults,
and most cases are discovered incidentally by radiological examination or
endoscopic gastroduodenoscopy. Preoperative diagnosis of gastric duplication cyst
is difficult, and definitive diagnosis requires pathological examination of the lesion.
So far, about 8 cases of gastric duplication cyst have been reported in adults in the
Korean literature. We report here a case of multiple gastric duplication cysts
presenting with melena in a 14-year-old man, which were detected by endoscopic
gastroduodenoscopy, abdominal computed tomography and endoscopic ultrasonography.
They were treated by complete excision of the multiple gastric duplication
cysts by laparoscopic wedge resection. |
| Key Words:
Gastric duplication cyst, Melena |
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