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KMID : 0882420090760020203
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Korean Journal of Medicine
2009 Volume.76 No. 2 p.203 ~ p.208
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Gastric duplication cyst associated with dorsal pancreatic agenesis and a cystic pulmonary lesion
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Lim Sung-Min
Lee Hyuck
Jeon Eun-Jung
Oh Jung-Hwan
Lee Sang-Haak
Choi Sang-Wook
Lee Seong
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Abstract
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Gastric duplication cysts and dorsal pancreatic agenesis are rare congenital anomalies, and little is known of the association between these two anomalies. A 17-year-old woman was admitted with a cystic lung mass detected as part of a health screening program. Chest computed tomography (CT) showed a cystic lung lesion in the right lower lobe and an incidental cystic abdominal mass. She had no specific symptoms or signs. Abdominal CT and endoscopic ultrasonography (EUS) revealed a 9×7×5.5-cm cystic mass and agenesis of the body and tail of the pancreas. The cyst was removed successfully using laparoscopic gastric wedge resection. Microscopically, the muscle coat of the cyst wall was fused with the muscle layer of the stomach. Therefore, the cystic mass was diagnosed as a gastric duplication cyst. We present a patient with a pulmonary cystic lesion associated with two congenital anomalies: a gastric duplication cyst and dorsal pancreatic agenesis. (Korean J Med 76:203-208, 2009)
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KEYWORD
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Digestive system abnormalities, Duplication cyst, Stomach, Pancreas
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