Recurrent acute pancreatitis caused by a gastric duplication cyst communicating with an aberrant pancreatic duct

Intern Med. 2010;49(14):1371-5. doi: 10.2169/internalmedicine.49.3392. Epub 2010 Jul 15.

Abstract

A 38-year-old woman was hospitalized in August 2007. This visit was her fifth episode of acute pancreatitis. Computed tomography revealed a cystic structure located near the antrum. Communication between this structure and the pancreatic duct was revealed by endoscopic retrograde cholangiopancreatography. Ultrasonography revealed that the cyst wall had a layered structure. Thus, we regarded it as a gastric duplication cyst. We thought that the gastric duplication cyst communicating with an aberrant pancreatic duct was responsible for the recurrent acute pancreatitis. In August 2008, a cyst gastrostomy was performed between the gastric duplication cyst and the stomach. No recurrence of acute pancreatitis has since occurred.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Adult
  • Cysts / complications
  • Cysts / diagnostic imaging*
  • Cysts / surgery
  • Female
  • Gastric Mucosa / diagnostic imaging
  • Gastric Mucosa / surgery
  • Humans
  • Pancreatic Ducts / abnormalities*
  • Pancreatic Ducts / surgery
  • Pancreatitis / diagnostic imaging*
  • Pancreatitis / prevention & control
  • Pancreatitis / surgery
  • Pyloric Antrum / diagnostic imaging*
  • Pyloric Antrum / surgery
  • Secondary Prevention
  • Ultrasonography