International Medical Case Reports Journal (Nov 2017)
Adenocarcinoma arising from a gastric duplication cyst: a case report and literature review
Abstract
Maheeba Abdulla Mohamed Abdulla,1 Mahmood Al Saeed,1 Safa Ameer Alshaikh,2 Umesh J Nabar3 1Department of Internal Medicine, 2Department of Pathology, 3Department of Radiology, Salmaniya Medical Complex, Manama, The Kingdom of Bahrain Introduction: Alimentary tract cystic duplication is a rare congenital anomaly predominantly affecting females, and diagnosed mostly in the early years of life.Case report: We present here a case of a 51-year-old man presenting with a 2-day history of melena. Gastroscopy showed fresh blood, as well as a mass lesion and cavity at the fundus. Biopsies of the mass edge reported the occurrence of moderately differentiated adenocarcinoma and mild chronic gastritis. Computed tomography imaging showed a 5.1×6.5 cm cystic mass in the gastric greater curvature. The patient received six cycles of epirubicin, capecitabine, and oxaliplatin, followed by uncomplicated total gastrectomy.Literature review: Data from all 11 reports of similar cases were reviewed and pooled. The result shows male predominance and variable symptoms, as well as a wide age range (25–76 years) at presentation. The cysts are commonly located along the greater curvature and are unilocular. Surgery was the treatment in most cases.Conclusion: Alimentary tract cystic duplication is rare and may predispose to malignancy. Early diagnosis and prompt surgical intervention is important for the best outcome. Keywords: gastric duplication cyst, gastric mass, adenocarcinoma, cystic duplication, alimentary tract cystic duplication
