Khaw Seng Pei, Tan Antonio T S, Kueh Martin T W, Lim Alexander Z Y, Lee Pei Pei, Aziz Aizat, Ooi Wei Keat
Department of Surgery, Royal College of Surgeons in Ireland and University College Dublin Malaysia Campus, 10450 George Town, Malaysia.
Upper GI Surgery Unit, Department of Surgery, Hospital Queen Elizabeth I, 88586 Kota Kinabalu, Malaysia.
J Surg Case Rep. 2025 Aug 26;2025(8):rjaf651. doi: 10.1093/jscr/rjaf651. eCollection 2025 Aug.
Our paper reports an unusual case of a large gastric duplication cyst (GDC) and a concurrent hepatic cyst in a 50-year-old woman, who presented with severe epigastric pain, weight loss and early satiety. Multimodality imaging was performed before surgery. Laparoscopic resection was favoured but was converted to open due to extensive adhesions. The cyst was completely excised. Post-operative histopathological findings confirmed GDC with no atypia/ malignancy. Our case sheds light on the diagnostic, surgical and post-operative challenges, providing a learning opportunity into this rare entity. Finally, a comprehensive literature review also highlighted the various pathologies that GDC can often mimic.
我们的论文报道了一例罕见病例，一名50岁女性患有巨大胃重复囊肿（GDC）并伴有肝囊肿，她表现为严重的上腹部疼痛、体重减轻和早饱感。手术前进行了多模态成像检查。原本倾向于腹腔镜切除术，但由于广泛粘连而改为开腹手术。囊肿被完全切除。术后组织病理学检查结果证实为GDC，无异型性/恶性病变。我们的病例揭示了诊断、手术和术后面临的挑战，为了解这一罕见疾病提供了学习机会。最后，全面的文献综述还强调了GDC常可模仿的各种病理情况。
