Case Report
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Mar 16, 2024; 12(8): 1504-1509
Published online Mar 16, 2024. doi: 10.12998/wjcc.v12.i8.1504
Multiple thoracic and abdominal foregut duplication cysts: A case report
Tuqa Adil Alsinan, Tariq Ibrahim Altokhais
Tuqa Adil Alsinan, Department of Pediatric Surgery, Prince Sultan Military Medical City, Riyadh 12233, Saudi Arabia
Tariq Ibrahim Altokhais, Devision of Pediatric Surgery, Department of Surgery, College of Medicine, King Saud University, Riyadh 4545, Saudi Arabia
Author contributions: Alsinan TA and Altokhais TI contributed equally to this work.
Informed consent statement: Informed written consent was not obtained from the patient as no personal information will be included or utilized throughout the study.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Tuqa Adil Alsinan, MBBS, Doctor, Department of Pediatric Surgery, Prince Sultan Military Medical City, Makkah Al Mukarramah Rd, As Sulimaniyah, Riyadh 12233, Saudi Arabia. tuqasinan.15@gmail.com
Received: December 8, 2023
Peer-review started: December 8, 2023
First decision: January 15, 2024
Revised: January 19, 2024
Accepted: February 25, 2024
Article in press: February 25, 2024
Published online: March 16, 2024
Processing time: 94 Days and 8.4 Hours
Abstract
BACKGROUND

Congenital enteric duplication cysts are tubular or cystic structures that normally lie alongside the gastrointestinal (GI) tract. Enteric duplication cysts are typically solitary lesions that occur anywhere near the GI tract from the neck to the rectum, but having multiple duplication cysts is rare, and presentation within the pancreas is extremely rare.

CASE SUMMARY

We herein demonstrate a case of esophageal, gastric, and gastric-type duplication cyst of the pancreas in a seventeen-month-old girl who presented with failure to thrive, abdominal pain, vomiting, hematemesis, and melena since the age of three months. The cysts were excised by thoracoscopy and laparoscopy in the same setting. To our knowledge, no such case has been published.

CONCLUSION

Enteric duplications can occur throughout the entire alimentary tract. When they occur in the pancreas, they present a formidable challenge in both diagnosis and treatment. Due to the risk of complications and malignant transformation, surgical removal is the recommended treatment of all duplication cysts.

Keywords: Congenital; Duplication cyst; Foregut duplication; Gastric duplication; Pancreas; Case report

Core Tip: Gastrointestinal duplications are infrequent developmental abnormalities that can manifest diversely, including variations in presentation, size, location, and symptoms. The occurrence of multiple enteric duplication cysts is uncommon, and their presence within the pancreas is exceptionally rare. This case evolved of esophageal, gastric, and gastric-type duplication cyst of the pancreas in a 17-month-old girl who was managed surgically by thoracoscopy and laparoscopy in the same setting.