Uncommon Presentation of Gastric Duplication Cyst with Left-Sided Portal Hypertension: A Case Report and Literature Review

被引:21
作者
Boicean, Adrian [1 ]
Prisca, Diana [2 ]
Bratu, Dan Georgian [1 ]
Bacila, Ciprian Ionut [1 ]
Tanasescu, Ciprian [1 ]
Chicea, Radu [1 ]
Fleaca, Sorin Radu [1 ]
Birsan, Sabrina Andreea [1 ]
Ichim, Cristian [1 ]
Mohor, Calin Ilie [1 ]
Roman, Mihai Dan [1 ]
Cristian, Adrian Nicolae [1 ]
Todor, Samuel Bogdan [1 ]
Mohor, Cosmin Ioan [1 ]
Moisin, Andrei [1 ]
Hasegan, Adrian [1 ]
机构
[1] Lucian Blaga Univ Sibiu, Fac Med, Sibiu 550169, Romania
[2] Cty Clin Emergency Hosp Sibiu, Sibiu 550245, Romania
关键词
gastric duplication cyst; echo-endoscopy; left-sided portal hypertension; ENDOSCOPIC ULTRASOUND; DIAGNOSIS; EUS; ADULT; ADENOCARCINOMA;
D O I
10.3390/diagnostics14070675
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Gastric duplication cysts (GDCs) in adults are exceedingly rare, with only a few documented cases in medical literature. The spectrum of clinical presentations varies widely, ranging from asymptomatic to severe symptoms such as hematemesis, vomiting or abdominal pain. Among the less common complications associated with GDCs, segmental portal hypertension is a notable rarity. We present a compelling case report of a patient exhibiting signs of segmental portal hypertension, where ultrasound and echo-endoscopy revealed a sizable gastric duplication cyst as the underlying etiology. Recognizing the scarcity of literature on GDCs in adult patients, we conducted a thorough review to underscore the diagnostic significance of ultrasonography and endoscopic ultrasound (EUS) in accurately identifying these congenital anomalies. This case report and comprehensive literature review emphasize the pivotal role of EUS and abdominal ultrasound in achieving an accurate diagnosis of GDCs. By shedding light on the diagnostic and therapeutic intricacies, we aim to raise awareness among clinicians regarding this rare pathology and the importance of multimodal imaging approaches for optimal patient management.
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页数:15
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