Gastric duplication cyst: a challenging EUS differential diagnosis between subepithelial gastric lesion and exophytic pancreatic cystic neoplasm-a case report and a literature review

被引：7

作者：

Massidda, Marco ^{[1
]}

Rocchi, Chiara ^{[1
]}

Tomassini, Giulia ^{[2
]}

di Prampero, Salvatore Francesco Vadala ^{[1
]}

Rocca, Paolo Cossu ^{[3
]}

Tondolo, Vincenzo ^{[4
]}

Manzoni, Gabriella ^{[5
]}

Bulajic, Milutin ^{[1
]}

机构：

[1] Mater Olbia Hosp, Gastroenterol & Endoscopy Unit, SS 125 Orientate Sarda, I-07026 Olbia, Italy

[2] Univ Sassari, Dipartimento Sci Med Chirurg & Sperimentali, Clin Med, Viale San Pietro 43, I-07100 Sassari, Italy

[3] ASL Gallura, Pathol Unit, Dept Diagnost Serv, Via Bazzoni Sircana, I-07026 Olbia, Italy

[4] Mater Olbia Hosp, Gen Surg Unit, SS 125 Orientate Sarda, I-07026 Olbia, Italy

[5] Mater Olbia Hosp, Radiol Unit, SS 125 Orientate Sarda, I-07026 Olbia, Italy

来源：

CLINICAL JOURNAL OF GASTROENTEROLOGY | 2022年 / 15卷 / 03期

关键词：

Gastric duplication cyst; Pancreatic cyst neoplasm; Subepithelial gastric lesion; Differential diagnosis; NEEDLE-ASPIRATION BIOPSY; ENDOSCOPIC ULTRASOUND; BRONCHOGENIC CYST; FOREGUT; MANAGEMENT; ULTRASONOGRAPHY; EPITHELIUM; MIMICKING;

D O I：

10.1007/s12328-022-01619-3

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Gastric duplication cysts are rare congenital malformation with a potential neoplastic progression and they may represent a challenge in differential diagnosis with exophytic pancreatic cyst neoplasm. We describe a case of a 38-year old man, complaining of recurrent epigastric pain due to a large abdominal mass, referred to our Hospital for EUS evaluation. Differential diagnosis was between gastric duplication cyst and exophytic pancreatic cyst because of FNA pointed out amylase 1280 UI/L and CEA 593.33 ng/mL. Despite antibiotic prophylaxis, an overinfection of the lesion occurred after the FNA, likely due to the technical failure to drain the cyst completely. Afterwards, the patient was referred to surgery and the pathologist confirmed the diagnosis of gastric duplication cyst. In this setting, EUS procedure has gained a leading play, complementary to traditional imaging tests, although its role has been not yet standardized in the reported literature. Here, we describe and discuss our demanding case, and we propose an algorithm to simplify and standardize the diagnostic workup.

引用

页码：560 / 567

页数：8

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