2024 Volume 49 Issue 4 Pages 382-389
A 23-year-old woman with no significant medical history presented with epigastric pain. Upon thorough examination , a 2.5-cm cystic tumor continuous with the muscular layer of the stomach was identified in the anterior wall of the gastric fundus, raising suspicion of a gastric duplication. Subsequently, the patient underwent a laparoscopic local resection of the stomach. The gastric wall near the tumor was dissected between the muscular layer and submucosal layer and then excised. The muscular defect was closed using interrupted sutures and barbed sutures. No communication with the gastric lumen existed. Pathological assessment revealed the presence of gastric mucosa, including gastric fundic glandular epithelia and gastric body glands, continuous with the muscular layer within the cyst. Additionally, Langerhans islets were observed, confirming the diagnosis of gastric duplication.
Gastric duplication is a congenital disorder that can occur in any part of the gastrointestinal tract, from the tongue base to the anus. The most common site of occurrence is the ileum, accounting for approximately 35%-53% of cases, whereas cases of gastric duplication are rare, comprising only 3%-8%. Symptoms often manifest during childhood, with abdominal pain being a common presentation. Adult-onset cases are uncommon. Moreover, literature on laparoscopic surgery for adult cases of gastric duplication is limited. Therefore, we report this case of an adult gastric duplication, which was successfully resected by laparoscopy.
