Pediatr Ann. 2022 Aug;51(8):e324-e327. doi: 10.3928/19382359-20220606-01. Epub 2022 Aug 1.
Enteric duplication cysts are rare congenital anomalies defined by the location along the gastrointestinal tract from which they communicate as well as the epithelial lining they contain. Enteric duplication cysts in communication with the pancreas are an even rarer subset that are often difficult to diagnose due to nonspecific presenting symptoms. In a pediatric patient with a history of recurrent pancreatitis episodes, a pancreatic duplication should be on the differential. High clinical suspicion and specific imaging characteristics can aid in the diagnosis. The management of pancreatic duplication cysts requires surgical excision or drainage procedures to alleviate symptoms and prevent associated complications such as recurrent pancreatitis, bleeding, bowel obstruction, or malignancy. Here we present a case of a gastric duplication cyst in communication with an accessory pancreatic lobe with special focus on the preoperative workup, intraoperative findings, and histopathologic examination. .
肠重复囊肿是一种罕见的先天性异常，其定义为与胃肠道相通的位置以及其包含的上皮衬里。与胰腺相通的肠重复囊肿是一种更为罕见的亚型，由于其表现症状不具有特异性，因此通常难以诊断。对于有反复发作胰腺炎病史的儿科患者，应考虑胰腺重复畸形。较高的临床怀疑和特定的影像学特征有助于诊断。胰腺重复囊肿的治疗需要手术切除或引流，以缓解症状并预防相关并发症，如反复发作的胰腺炎、出血、肠梗阻或恶性肿瘤。在此，我们报告了一例与副胰脏叶相通的胃重复囊肿，特别关注术前检查、术中发现和组织病理学检查。
