Nakazawa Nana, Okazaki Tadaharu, Miyano Takeshi
Department of Pediatric General and Urogenital Surgery, Juntendo University School of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, Japan.
Pediatr Surg Int. 2005 Oct;21(10):831-4. doi: 10.1007/s00383-005-1517-3. Epub 2005 Oct 21.
We present a rare case of gastric duplication cyst that was suspected prenatally. A routine prenatal ultrasonography (US) showed an abdominal cyst with peristalsis and a provisional diagnosis of enteric duplication was made. A healthy male infant was born at 39 weeks gestation and postnatal US identified a cyst, 5x3x2 cm in size, adjacent to the pancreas. At laparotomy, a cyst was found located in the lesser sac, but completely separated from the stomach, and partially adhered to the body of the pancreas and the crura of the diaphragm. Total excision of the cyst was successful. Histopathologic examination confirmed that the cyst wall consisted solely of normal gastric tissue with erosions. To the best of our knowledge, this is the first report of an isolated gastric duplication cyst that was detected prenatally and resected during the neonatal period.
我们报告一例产前疑似胃重复囊肿的罕见病例。常规产前超声检查显示一个有蠕动的腹部囊肿，初步诊断为肠重复畸形。一名健康男婴在孕39周时出生，产后超声检查发现一个大小为5×3×2 cm的囊肿，毗邻胰腺。剖腹探查时，发现囊肿位于小网膜囊内，但与胃完全分离，部分粘连于胰体和膈肌脚。囊肿完全切除成功。组织病理学检查证实囊肿壁仅由伴有糜烂的正常胃组织构成。据我们所知，这是首例产前检测到并在新生儿期切除的孤立性胃重复囊肿的报告。
