• Users Online:1134
  • Home
  • Print this page
  • Email this page
Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 

 Table of Contents  
Year : 2014  |  Volume : 3  |  Issue : 3  |  Page : 152-160

Duplication cysts: Diagnosis, management, and the role of endoscopic ultrasound

Department of Gastroenterology and Hepatology, University of Utah School of Medicine, Huntsman Cancer Center, Salt Lake City, Utah, USA

Date of Web Publication16-Aug-2014

Correspondence Address:
Douglas G Adler
Department of Gastroenterology and Hepatology, University of Utah School of Medicine, Huntsman Cancer Center, Salt Lake City, Utah
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2303-9027.138783

Rights and Permissions

Gastrointestinal tract duplication cysts are rare congenital gastrointestinal malformation in young patients and adults. They consist of foregut duplication cysts, small bowel duplication cysts, and large bowel duplication cysts. Endoscopic ultrasound (EUS) has been widely used as a modality for the evaluation and diagnosis of duplication cysts. EUS is the diagnostic tool of choice to investigate duplication cysts since it can distinguish between solid and cystic lesions. The question of whether or not to perform EUS-fine needle aspiration (EUS-FNA) on a lesion suspected of being a duplication cyst is controversial as these lesions can become infected with significant consequences, although EUS-FNA is often required to obtain a definitive diagnosis and to rule out more ominous lesions. This manuscript will review the literature on duplication cysts throughout the body and will also focus on the role of EUS and FNA with regards to these lesions.

Keywords: Bronchogenic, duodenal, duplication cyst, esophageal, endoscopic ultrasound, fine needle aspiration, mediastinitis

How to cite this article:
Liu R, Adler DG. Duplication cysts: Diagnosis, management, and the role of endoscopic ultrasound. Endosc Ultrasound 2014;3:152-60

How to cite this URL:
Liu R, Adler DG. Duplication cysts: Diagnosis, management, and the role of endoscopic ultrasound. Endosc Ultrasound [serial online] 2014 [cited 2022 Dec 1];3:152-60. Available from: http://www.eusjournal.com/text.asp?2014/3/3/152/138783

  Introduction Top

Gastrointestinal tract duplication cysts are rare congenital gastrointestinal malformation in young patients and adults. They consist of foregut duplication cysts, small bowel duplication cysts, and large bowel duplication cysts. Foregut duplication cysts are categorized on the basis of their embryonic origin into esophageal, bronchogenic, and neuroenteric cysts. [1] Bronchogenic and esophageal duplication cysts are thought to arise from abnormal budding of the embryonic foregut at 5-8 weeks gestation, although the exact embryonic origin of different types of duplication cysts remains a mystery. [2] Of note, 50-70% of foregut duplication cysts are enterogenous while 7-15% of them are bronchogenic. [3] Foregut duplication cysts constitute 6-15% of primary mediastinal masses. [4] Gastrointestinal tract duplication cysts most commonly occur in the ileum, esophagus, and colon. They may be contained within the gastrointestinal tract wall or extrinsic to it. [5] Duplication cysts can also be cystic (80%) or tubular (20%). [6]

Endoscopic ultrasound (EUS) has been widely used as a modality for the evaluation and diagnosis of duplication cysts. EUS is the diagnostic tool of choice to investigate duplication cysts since it can distinguish between solid and cystic lesions. [7] EUS can also establish cyst location relative to surrounding tissues. [8],[9] EUS shows duplication cysts as anechoic, homogenous lesions with regular margins arising from the submucosal layer or extrinsic to the gut wall, although a hypoechoic echo pattern can also be seen with a duplication cyst. [5] On EUS, duplication cyst walls usually consists of 3-5 layers and the internal contents may be anechoic or hypoechoic. [3] Duplication cysts may contain thick mucinous material, septations, fluid levels, debris and they may also contain detached ciliary tufts which could be diagnostic. [5],[9] In addition, duplication cysts can have peristalsis that appears as ring contractions with a concentric contraction of the cystic wall. Peristalsis in a juxta-enteric cyst is specific for a duplication cyst and can be a diagnostic feature. [3]

  Esophageal duplication cysts Top

Esophageal duplication cysts are the second most common duplication cysts following small bowel duplications cysts, accounting for approximately 10-15% of gastrointestinal duplication cysts. The prevalence of esophageal duplications cysts is 0.0122%. [3] As many as 80% of these lesions are diagnosed in childhood with the majority being symptomatic. [3],[10] Most of the esophageal duplication cysts are located in the right posterior inferior mediastinum. Two-thirds of these lesions are found in the lower third of esophagus and 1/3 in the upper/middle third of esophagus. [5]

Esophageal duplication cysts have a double layer of surrounding smooth muscle, are lined by alimentary (squamous or enteric) epithelium, and are either attached to esophagus in a paraesophageal or intramural fasion. [3],[11],[12],[13] Patients with esophageal duplication cysts are usually asymptomatic but can develop symptoms (such as dysphagia or chest pain) due to compression of surrounding structures. [3] One study showed that seven percent of esophageal duplication cysts can cause symptoms in adulthood, with 60% of these cysts located in the lower esophagus with no communication with esophageal lumen. [14] Upper esophageal duplication cysts can cause stridor and/or a nonproductive cough, while cysts in the middle and lower esophagus can cause dysphagia, epigastric discomfort, chest pain, and/or vomiting. Rare symptoms such as cardiac arrhythmia, retrosternal and thoracic back pain, cyst ulceration and bleeding, or cyst rupture with secondary mediastinitis have also been reported. [15],[16]

On routine endoscopy, esophageal duplication cysts can be identified via extrinsic compression of the lumen with normal appearing overlying esophageal mucosa. Endoscopically, these lesions may be indistinguishable from a lipoma, leiomyoma, a gastrointestinal stromal tumor (GIST), or other submucosal lesions. On EUS, esophageal duplication cysts will often appear as a periesophageal homogenous hypoechoic mass with multi-layered wall and well-defined margins, although sometimes the lesion can manifest as an anechoic cyst if considerable central fluid is present [1] [Figure 1].
Figure 1:

Click here to view

The role of EUS-guided fine needle aspiration (FNA) in the diagnosis of esophageal duplication cysts, and duplication cysts in general, has been controversial. While FNA can show squamous cells or other cyst contents consistent with a duplication cyst that can aid in the diagnosis, the risk of infecting the cyst is a significant concern, with some studies showing an infection rate as high as 14%. [7],[10] EUS-FNA should be performed if there is a concern about more serious lesion or if the nature of the lesion is in doubt.

Endoscopic ultrasound-guided FNA is usually reserved for lesions of indeterminate appearance, lesions that are concerning for malignancy, and lesions that are atypical in appearance for duplication cysts. It should be noted that many duplication cysts can have an unusual appearance and can mimic other pathologic entities, including the malignant adenopathy. EUS-guided FNA may reveal a lesion felt to be a node to be, in fact, a duplication cyst. Even expert endosonographers can mistake a duplication cyst for a more ominous lesion, and aspirating a lesion of concern should not be considered a breach of the standard of care.

Concerns regarding causing an adverse event following EUS-guided FNA of esophageal duplication cysts are well founded. Cevasco et al. reported a case in which a patient underwent EUS-FNA of an esophageal hyperechoic duplication cyst that subsequently got infected. The infected esophageal duplication cyst led to acute development and infection of a thoracic aorta pseudoaneurysm. [10] Similarly, Trojan et al. reported a case of an infected hypoechoic esophageal duplication cyst after performing EUS-FNA on a paraesophageal mass concerning for persistent nonHodgkin's lymphoma (again showing how esophageal duplication cysts can mimic ominous lesions such as a malignant adenopathy). [17] Although some authors advocate the use of antibiotics to help prevent infection, Diehl et al. reported one patient with infected esophageal duplication cysts due to EUS-FNA despite having received pre and postprocedure prophylactic antibiotics prior to the procedure. This patient subsequently underwent thoracotomy with cyst resection. [1] Overall, EUS-guided FNA of duplication cysts should be avoided if the endosonographer has a high index of suspicion that the lesion in question really is a duplication cyst. [18] In some cases, EUS-FNA may be warranted in order to characterize the lesion in question, but if a duplication cyst is discovered appropriate antibiotic coverage should be utilized.

From a treatment perspective, surgical removal/enucleation is the treatment of choice in most symptomatic cases. In asymptomatic cases, surgery can be considered as the cyst could develop ulceration or perforation and the short-term postoperative outcome in these patients has been excellent. [19] Noguchi et al. reported a case of successful laparoscopic surgery of an asymptomatic esophageal cyst in a 26-year-old patient who remained asymptomatic at 3 year follow-up. [20] On the other hand, surgical intervention for asymptomatic cyst can also lead to long-term complications such as heartburn and reflux esophagitis and can carry a mortality as high as 1%. [19]

Another treatment strategy is observation in asymptomatic individuals. Versleijen et al. described a case in which a patient with asymptomatic esophageal duplication cyst (diameter 1.1-4.1 cm) was followed for 13 years and routine EUS did not show cyst growth. These authors advocated EUS surveillance over surgery in asymptomatic patients, although the cost implications of such an approach have not been formally studied to date. [21]

  Gastric duplication cysts Top

Gastric duplication cysts makeup between 4% and 9% of all intestinal duplication cysts. [11] They are usually single and, in general, do not communicate with gastric lumen. Histologically, the cyst wall can consist of mucosa, subepithelial connective tissue, a layer of smooth muscle, and an outer fibrous capsule. The mucosa is typically lined by gastric foveolar epithelium, but most of the cystic wall is lined by a pseudostratified columnar ciliated epithelium. Sometimes small intestinal or colonic mucosa can also be found. [22] Gastric duplication cysts may also contain ciliated cells, proteinaceous debris, crystal formations, or engulfed histiocytes. [22]

The origin of gastric duplication cysts remains uncertain. Khoury and Rivera reported two cases where the gastric duplication cysts appear to originate from a respiratory diverticulum which arises from the ventral foregut. [23] Most gastric duplication cysts are located along the greater curvature of the stomach. Only 5.5% arise along the lesser curvature. [24] Gastric duplication cysts can also be found in the upper part of the stomach at the level of the cardia, near the gastroesophageal junction, along the greater curvature of the stomach, or in the anterior or posterior wall of the fundus. [3],[22]

Patients with gastric duplication cysts can be asymptomatic but can also develop symptoms such as diffuse abdominal pain, epigastric pain, vomiting, weight loss, gastric outlet obstruction, ulcerated antral mass, or failure to thrive. [22],[24],[25]

On EUS, gastric duplication cyst can appear as a hypoechoic lesion with a heterogeneous internal echotexture and regular margins. Gastric duplication cysts can be contiguous with the muscularis propria of the gastric wall. [22] For example, Bhatia et al. described an anechoic cyst with four distinct wall layers adjacent to the distal gastric body and antrum in a patient with gastric duplication cyst; this cyst was found to be lined with gastric mucosa. [25] Seijo et al. also described an anechoic cyst arising from the muscularis propria that was ultimately found to be a gastric duplication cyst. This study did not describe the wall appearance of the cyst in detail. [26]

The role of FNA in establishing the diagnosis remains controversial. Some authors such as Seijo et al. argued that a cytological and histological examination of the cyst via EUS-FNA was necessary in order to rule out malignant cyst transformation. [26] Napolitano et al. also reported a case of a gastric duplication cyst that was initially misdiagnosed as a GIST with EUS. Later on a separate procedure it was diagnosed as a gastric duplication cyst with EUS-FNA. [22] Other authors argued that FNA aspiration of duplication cysts should not be routine as this could increase the risk of infection and medistinal abscess formation, although in this case the FNA itself allowed for a definitive diagnosis and ruled out a more ominous lesion. [18]

There have been <10 reported cases of gastric cancer arising from gastric duplication cyst to date. [27] Since it is still possible for cancer to arise from gastric-type lining epithelium or pseudostratified columnar ciliated epithelium of the gastric duplication cyst, some authors favor surgery for these lesions in asymptomatic patients. [28],[29],[30],[31] On the other hand, others authors favor conservative treatment since malignant transformation of these lesions is anecdotal. [13],[34] Ponder, and Collins suggested that surgery may not be necessary if respiratory epithelium, instead of the gastric epithelium, is recognized on EUS-FNA because gastric cancer is less likely to arise from the respiratory epithelium than from gastric epithelium. [33]

  Bronchogenic duplication cysts Top

Bronchogenic duplication cysts are lined by respiratory epithelium (which is usually ciliated pseudostratified columnar in nature) and may contain cartilage/bronchial glands in their wall. [3] Bronchogenic duplication cysts can also contain one or more layers of smooth muscle. [5] Most are located in the mediastinum around the tracheobronchial tree or within the pulmonary parenchyma. [5]

Symptomatically, patients with bronchogenic duplication cysts can present with dysphagia, chest pain, cough, shortness of breath, or abdominal pain. On EUS, these lesions often appear as round or oval lesion with a thin outer wall and located adjacent to the thoracic esophagus with well-defined endosonographic borders. [1] Their intracystic contents can be anechoic, hypoechoic, or contain dense hyperechoic debris, which could be potentially confused with a soft-tissue masses or a malignant adenopathy [34] [Figure 2].
Figure 2:

Click here to view

When aspirated by EUS-FNA, cytology can reveal cellular debris, hemosiderin laden macrophages, ciliated columnar cells, and goblet cells. [7] Their contents can range from thin, free-flowing fluid to solidified mucoid material that cannot be aspirated on FNA. [34]

With regards to EUS-FNA, some authors have favored this while others defer it. Fazel et al. reported a series of 22 patients in which the use of 22-gauge needles and prophylactic antibiotics in the diagnosis of bronchogenic duplication cysts resulted in no infectious complications during the 6 months follow-up. [34] On the other hand, the use of EUS-FNA to confirm the diagnosis of benign cysts has been associated with infections and mediastinitis. [7],[35] Diehl et al. reported three cases of infected duplication cyst due to EUS-FNA. Two of them involved patients with bronchogenic cyst who received pre and postprocedure prophylactic antibiotics. These two patients went on to develop infected cysts. One was resected with video-assisted thoracoscopy and the other one with thoracotomy. [1]

With regards to treatment, surgical enucleation is the treatment of choice in symptomatic cases. In asymptomatic cases, surgical resection has been suggested due to the rare development of complications or malignancy, but many of these lesions can be safely observed. [36] Some experts also recommend close surveillance alone when the diagnosis has been confirmed by needle aspiration, but no standard regimen for surveillance exists. [37] Indeed, consensus on whether these lesions need to be followed at all does not exist at this time.

  Small bowel duplication cysts Top

Small bowel duplication cysts can be associated with all three small bowel subtypes: Duodenal, jejunal, and ileal. Jejunal duplications are the most common, followed by ileal and duodenal duplications. [38] Duodenal duplication cysts makeup 2-12% of GI tract duplications. [39] Ileal duplication cysts makeup about 44% of GI tract duplications. [40] Jejunal duplication cysts makeup about 50% of GI tract duplications. [41]

In general, the wall of small bowel duplication cysts can contain two-mucosal layers sharing a common muscle layer. [42] More specifically, duodenal duplication cyst consists of submosa, muscularis propria, a duodenal epithelial lining, and intimate attachment to the GI tract [43] [Figure 3]. Jejunal duplication cyst consists of submosa, muscularis propria, and are lined with jejunal mucus glands. Similarly, ileal duplication cyst consists of submosa, muscularis propria, and are lined with ileal mucus glands and can contain heterotopic gastric mucosae. [44]

Most duodenal duplication cysts are located in the second or third portion of the duodenum. [42] The most common type of duodenal cyst is the cystic and noncommunicating type, usually located at the medial border of the second part of the duodenum and extending anteriorly or posteriorly. [45] Jejunal duplication cysts can be found arising from the mesenteric aspect of the jejunum. [46] Ileal duplication cysts can arise anywhere in the native ileum. [44]
Figure 3. 7.5 MHz radial endoscopic ultrasound (EUS) image of a duodenal duplication cyst in a 22-year-old female. The lesion was discovered incidentally on a computed tomography scan performed to evaluate for renal stones. The lesion manifests as a multi-layered cystic structure with the cyst muscularis propria communicating with the duodenal muscularis propria, as well as what appears to be a mucosal prominence. The patient declined surgical resection and has undergone serial EUS exams without interval change

Click here to view

Patients with small bowel duplication cysts can present with a variety of symptoms including vomiting and abdominal pain. [47] Ko et al. reported a patient with a duplication cyst in the second and third portion of the duodenum with duodenoduodenal intussuception, melena, and abdominal pain. The patient underwent small bowel resection and duodenotomy with uneventful recovery. Her symptoms had resolved following surgical resection. [42]

Duodenal cysts can cause other complications such as pancreatitis, infection, weight loss, and GI bleeding from ulceration of the ectopic gastric mucosa within the cyst. [39],[48] Jejunal duplication cyst can cause abdominal bloating, constipation, intussusception, vovulus, and partial small bowel obstruction. [46],[49] Ileal duplication cysts may be asymptomatic or present with abdominal pain, small bowel obstruction, a palpable abdominal mass, or hematochezia. Rarely, malignant transformation can occur in the setting of gastric mucosa heterotopia within the duplication cyst. [50]

On EUS, duodenal duplication cysts can have a 3-5 layer wall consistent with cyst of intestinal origin, and the cyst's muscularis propria can be continuous with the muscularis propria of the duodenum. [47] Duodenal duplication cyst can have an echogenic inner mucosa surrounded by a hypoechoic outer muscular layer. [51] Until date, no data has been published on the utility of EUS-FNA in diagnosing small bowel duplication cysts.

Regarding the treatment, duodenal cysts are usually treated with surgical resection, although endoscopic treatment has been reported especially in cases where the duplication is in close proximity to the major duodenal papillae. [52]

Treatment of asymptomatic duodenal cysts remains controversial. Al-Harake et al. recommended complete surgical resection of duodenal cysts, which may require pancreaticoduodenectomy if the cyst is located near the biliary-pancreatic duct. [38] Surgery has been recommended by some authors due to possible malignant transformation based on case reports. [39] Johnson and Poole reported three out of 13-adult ileal duplication cyst patients who had ileal cancer arising from the cysts, including two patients with adenocarcinoma and one patient with squamous cell carcinoma. This has been seen as an argument for resection of ileal duplication cysts. [50] Wan et al. also advocated for surgical resection of asymptomatic jejunal duplication cysts due to the risk of malignant degeneration. [46]

  Large Bowel/Rectal Duplication Cysts Top

Colonic duplication cysts represent 6.8% of gastrointestinal duplication cysts. [53] On histology, heterotopic gastric mucosa may be found in 33% of colonic duplication cysts. [53] Colonic cysts can also contain multiple layers of the bowel wall including mucosa, submucosa, and muscularis propria. They can contain at least one outer muscular layer with an inner gastrointestinal mucosal lining. Colonic duplication cysts can also contain well-organized layers of smooth muscle with intimate attachment of the common wall to the colon and fibrosis, inflammatory cells, lymphoid aggregates, necrosis, and calcification. [54]

Colonic duplication cysts can be located anywhere in the large intesting. [55],[6],[54] Colonic cysts can be asymptomatic or present as abdominal pain to the point of an acute abdomen, obstruction, and/or bleeding. [55] These lesions may be asymptomatic as well. Gastrointestinal bleeding can occur if ectopic gastric mucosa ulcerates and erodes into adjacent organs or vessels. [54] In addition, malignant degeneration is most often reported in the colon as up to 67% of malignancies diagnosed in duplication cysts occurred in the colon. [56]

On EUS, colonic duplication cysts can show a "gut signature" which will manifest as a multi-layered wall, with a relatively hyperechoic inner layer produced by the mucosa surrounded by a relatively hypoechoic outer layer caused by smooth muscle, or can have a more irregular and atypical appearance [27] [Figure 4]. It should be noted that some cysts lack a well-organized layered wall due to some degree of involution or degeneration. The submucosa may be difficult to see and has no universally agreed upon appearance. Peristalsis of the cyst wall has also been reported on EUS. [57] Computed tomography scanning is also a highly sensitive diagnostic modality and is often the initial test of choice. [55] Contrast enema can also establish the diagnosis if it can demonstrate a colonic filling defect or luminal communication with the bowel, but is much less commonly performed in the current era. [6] Colonoscopy will show the duplication cyst only if there is communication with the colon or extrinsic compression and may fail to detect a significant number of colonic duplication cysts. [6] To date, no data has been published on the utility of EUS-FNA in diagnosing colonic duplication cysts.
Figure 4:

Click here to view

Regarding the treatment, some authors recommend routine resection of asymptomatic colonic duplication cysts due to the potential for perforation, bleeding, obstruction, and malignant degeneration. [58] In patients with symptomatic colonic cysts, surgical resection is usually recommended in good operative candidates. Reiser-Erkan et al. reported a case of colonic duplication cyst manifesting as acute abdomen and intussusception necessitating a right-sided hemicolectomy. [55] Domajnko and Salloum, Puligandla et al. recommended en block resection of symptomatic colonic duplications. [6],[53] In addition, Mourra et al. reported colonic duplication cysts in seven patients (four presenting with abdominal pain, three presenting with bowel obstruction) who subsequently underwent surgical partial colectomy with associated complete cyst excision. [54]

  Conclusion Top

Gastrointestinal duplication cysts are rare congenital lesions in adults. Some patients are asymptomatic while others can present with abdominal pain, bleeding, and abdominal pain. EUS can offer an accurate diagnosis of duplication cysts. EUS-FNA allows high-resolution morphologic analysis as well as sampling and microscopic examination of cyst contents; it can also lead to duplication cyst infection with associated complications despite pre and postprocedural antibiotics in some patients. EUS-FNA of duplication cysts can carry an increased risk of complications, but may be warranted to obtain a definitive diagnosis and to rule out more serious pathology.

Once the diagnosis of duplication cyst is established, treatment can vary depending on the presence of symptoms. In symptomatic patients, surgical resection is often the choice for symptom relief. In asymptomatic patients, surgical resection is controversial. While some authors advocate for resection due to possible malignant degeneration of the duplication cyst, others have advocated for observation. Since there have been case reports of stable duplication cysts on EUS surveillance, this may be a suitable method of outpatient follow-up and surgical resection can be considered if patient develops symptoms. In any case, surgical versus nonsurgical management of asymptomatic duplication cysts is likely to remain controversial until we understand more about the time course and risk factors associated with their malignant degeneration.

  References Top

1.Diehl DL, Cheruvattath R, Facktor MA, et al. Infection after endoscopic ultrasound-guided aspiration of mediastinal cysts. Interact Cardiovasc Thorac Surg 2010;10:338-40.  Back to cited text no. 1
2.Nobuhara KK, Gorski YC, La Quaglia MP, et al. Bronchogenic cysts and esophageal duplications: Common origins and treatment. J Pediatr Surg 1997;32:1408-13.  Back to cited text no. 2
3.Whitaker JA, Deffenbaugh LD, Cooke AR. Esophageal duplication cyst. Case report. Am J Gastroenterol 1980;73:329-32.  Back to cited text no. 3
4.Snyder ME, Luck SR, Hernandez R, et al. Diagnostic dilemmas of mediastinal cysts. J Pediatr Surg 1985;20:810-5.  Back to cited text no. 4
5.Bhatia V, Tajika M, Rastogi A. Upper gastrointestinal submucosal lesions - clinical and endosonographic evaluation and management. Trop Gastroenterol 2010;31:5-29.  Back to cited text no. 5
6.Domajnko B, Salloum RM. Duplication cyst of the sigmoid colon. Gastroenterol Res Pract 2009;2009:918401.  Back to cited text no. 6
7.Wildi SM, Hoda RS, Fickling W, et al. Diagnosis of benign cysts of the mediastinum: The role and risks of EUS and FNA. Gastrointest Endosc 2003;58:362-8.  Back to cited text no. 7
8.Faigel DO, Burke A, Ginsberg GG, et al. The role of endoscopic ultrasound in the evaluation and management of foregut duplications. Gastrointest Endosc 1997;45:99-103.  Back to cited text no. 8
9.Eloubeidi MA, Cohn M, Cerfolio RJ, et al. Endoscopic ultrasound-guided fine-needle aspiration in the diagnosis of foregut duplication cysts: The value of demonstrating detached ciliary tufts in cyst fluid. Cancer 2004;102:253-8.  Back to cited text no. 9
10.Cevasco M, Menard MT, Bafford R, et al. Acute infectious pseudoaneurysm of the descending thoracic aorta and review of infectious aortitis. Vasc Endovascular Surg 2010;44:697-700.  Back to cited text no. 10
11.Wang B, Hunter WJ, Bin-Sagheer S, et al. Rare potential pitfall in endoscopic ultrasound-guided fine needle aspiration biopsy in gastric duplication cyst: A case report. Acta Cytol 2009;53:219-22.  Back to cited text no. 11
12.Arbona JL, Fazzi JG, Mayoral J. Congenital esophageal cysts: Case report and review of literature. Am J Gastroenterol 1984;79:177-82.  Back to cited text no. 12
13.Geller A, Wang KK, DiMagno EP. Diagnosis of foregut duplication cysts by endoscopic ultrasonography. Gastroenterology 1995;109:838-42.  Back to cited text no. 13
14.Pisello F, Geraci G, Arnone E, et al. Acute onset of esophageal duplication cyst in adult. Case report. G Chir 2009;30:17-20.  Back to cited text no. 14
15.Bowton DL, Katz PO. Esophageal cyst as a cause of chronic cough. Chest 1984;86:150-2.  Back to cited text no. 15
16.Neo EL, Watson DI, Bessell JR. Acute ruptured esophageal duplication cyst. Dis Esophagus 2004;17:109-11.  Back to cited text no. 16
17.Trojan J, Mousset S, Caspary WF, et al. An infected esophageal duplication cyst in a patient with non-Hodgkin's lymphoma mimicking persistent disease. Dis Esophagus 2005;18:287-9.  Back to cited text no. 17
18.Béchade D, Desramé J, Algayres JP. Gastritis cystica profunda in a patient with no history of gastric surgery. Endoscopy 2007;39 Suppl 1:E80-1.  Back to cited text no. 18
19.Salo JA, Ala-Kulju KV. Congenital esophageal cysts in adults. Ann Thorac Surg 1987;44:135-8.  Back to cited text no. 19
20.Noguchi T, Hashimoto T, Takeno S, et al. Laparoscopic resection of esophageal duplication cyst in an adult. Dis Esophagus 2003;16:148-50.  Back to cited text no. 20
21.Versleijen MW, Drenth JP, Nagengast FM. A case of esophageal duplication cyst with a 13-year follow-up period. Endoscopy 2005;37:870-2.  Back to cited text no. 21
22.Napolitano V, Pezzullo AM, Zeppa P, et al. Foregut duplication of the stomach diagnosed by endoscopic ultrasound guided fine-needle aspiration cytology: Case report and literature review. World J Surg Oncol 2013;11:33.  Back to cited text no. 22
23.Khoury T, Rivera L. Foregut duplication cysts: A report of two cases with emphasis on embryogenesis. World J Gastroenterol 2011;17:130-4.  Back to cited text no. 23
24.Kim DH, Kim JS, Nam ES, et al. Foregut duplication cyst of the stomach. Pathol Int 2000;50:142-5.  Back to cited text no. 24
25.Bhatia V, Garg PK, Gupta SD, et al. Demonstration of peristalsis in gastric duplication cyst by EUS: Implications for diagnosis and symptomatology (with videos). Gastrointest Endosc 2008;68:183-5.  Back to cited text no. 25
26.Seijo Ríos S, Lariño Noia J, Abdulkader Nallib I, et al. Adult gastric duplication cyst: Diagnosis by endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA). Rev Esp Enferm Dig 2008;100:586-90.  Back to cited text no. 26
27.Barr LL, Hayden CK Jr, Stansberry SD, et al. Enteric duplication cysts in children: Are their ultrasonographic wall characteristics diagnostic? Pediatr Radiol 1990;20:326-8.  Back to cited text no. 27
28.Coit DG, Mies C. Adenocarcinoma arising within a gastric duplication cyst. J Surg Oncol 1992;50:274-7.  Back to cited text no. 28
29.Murakami S, Isozaki H, Shou T, et al. Foregut duplication cyst of the stomach with pseudostratified columnar ciliated epithelium. Pathol Int 2008;58:187-90.  Back to cited text no. 29
30.Kuraoka K, Nakayama H, Kagawa T, et al. Adenocarcinoma arising from a gastric duplication cyst with invasion to the stomach: A case report with literature review. J Clin Pathol 2004;57:428-31.  Back to cited text no. 30
31.Horie H, Iwasaki I, Takahashi H. Carcinoid in a gastrointestinal duplication. J Pediatr Surg 1986;21:902-4.  Back to cited text no. 31
32.Horne G, Ming-Lum C, Kirkpatrick AW, et al. High-grade neuroendocrine carcinoma arising in a gastric duplication cyst: A case report with literature review. Int J Surg Pathol 2007;15:187-91.  Back to cited text no. 32
33.Ponder TB, Collins BT. Fine needle aspiration biopsy of gastric duplication cysts with endoscopic ultrasound guidance. Acta Cytol 2003;47:571-4.  Back to cited text no. 33
34.Fazel A, Moezardalan K, Varadarajulu S, et al. The utility and the safety of EUS-guided FNA in the evaluation of duplication cysts. Gastrointest Endosc 2005;62:575-80. Erratum in: Gastrointest Endosc 2005;62:996.  Back to cited text no. 34
35.Ryan AG, Zamvar V, Roberts SA. Iatrogenic candidal infection of a mediastinal foregut cyst following endoscopic ultrasound-guided fine-needle aspiration. Endoscopy 2002;34:838-9.  Back to cited text no. 35
36.Sirivella S, Ford WB, Zikria EA, et al. Foregut cysts of the mediastinum. Results in 20 consecutive surgically treated cases. J Thorac Cardiovasc Surg 1985;90:776-82.  Back to cited text no. 36
37.Kuhlman JE, Fishman EK, Wang KP, et al. Esophageal duplication cyst: CT and transesophageal needle aspiration. AJR Am J Roentgenol 1985;145:531-2.  Back to cited text no. 37
38.Al-Harake A, Bassal A, Ramadan M, et al. Duodenal duplication cyst in a 52-year-old man: A challenging diagnosis and management. Int J Surg Case Rep 2013;4:296-8.  Back to cited text no. 38
39.Chen JJ, Lee HC, Yeung CY, et al. Meta-analysis: The clinical features of the duodenal duplication cyst. J Pediatr Surg 2010;45:1598-606.  Back to cited text no. 39
40.Al-Sarem SA, Al-Shawi JS. Ileal duplication in adults. Saudi Med J 2007;28:1734-6.  Back to cited text no. 40
41.Tamvakopoulos GS, Sams V, Preston P, et al. Iron-deficiency anaemia caused by an enterolith-filled jejunal duplication cyst. Ann R Coll Surg Engl 2004;86:W49-51.  Back to cited text no. 41
42.Ko SY, Ko SH, Ha S, et al. A case of a duodenal duplication cyst presenting as melena. World J Gastroenterol 2013;19:6490-3.  Back to cited text no. 42
43.Gross RE, Holcomb GW Jr, Farber S. Duplications of the alimentary tract. Pediatrics 1952;9:448-68.  Back to cited text no. 43
44.Li BL, Huang X, Zheng CJ, et al. Ileal duplication mimicking intestinal intussusception: A congenital condition rarely reported in adult. World J Gastroenterol 2013;19:6500-4.  Back to cited text no. 44
45.Merrot T, Anastasescu R, Pankevych T, et al. Duodenal duplications. Clinical characteristics, embryological hypotheses, histological findings, treatment. Eur J Pediatr Surg 2006;16:18-23.  Back to cited text no. 45
46.Wan XY, Deng T, Luo HS. Partial intestinal obstruction secondary to multiple lipomas within jejunal duplication cyst: A case report. World J Gastroenterol 2010;16:2190-2.  Back to cited text no. 46
47.Guibaud L, Fouque P, Genin G, et al. Case report. CT and ultrasound of gastric and duodenal duplications. J Comput Assist Tomogr 1996;20:382-5.  Back to cited text no. 47
48.Lad RJ, Fitzgerald P, Jacobson K. An unusual cause of recurrent pancreatitis: Duodenal duplication cyst. Can J Gastroenterol 2000;14:341-5.  Back to cited text no. 48
49.Otter MI, Marks CG, Cook MG. An unusual presentation of intestinal duplication with a literature review. Dig Dis Sci 1996;41:627-9.  Back to cited text no. 49
50.Johnson JA 3 rd , Poole GV. Ileal duplications in adults. Presentation and treatment. Arch Surg 1994;129:659-61.  Back to cited text no. 50
51.Lee NK, Kim S, Jeon TY, et al. Complications of congenital and developmental abnormalities of the gastrointestinal tract in adolescents and adults: Evaluation with multimodality imaging. Radiographics 2010;30:1489-507.  Back to cited text no. 51
52.Antaki F, Tringali A, Deprez P, et al. A case series of symptomatic intraluminal duodenal duplication cysts: Presentation, endoscopic therapy, and long-term outcome (with video). Gastrointest Endosc 2008;67:163-8.  Back to cited text no. 52
53.Puligandla PS, Nguyen LT, St-Vil D, et al. Gastrointestinal duplications. J Pediatr Surg 2003;38:740-4.  Back to cited text no. 53
54.Mourra N, Chafai N, Bessoud B, et al. Colorectal duplication in adults: Report of seven cases and review of the literature. J Clin Pathol 2010;63:1080-3.  Back to cited text no. 54
55.Reiser-Erkan C, Erkan M, Ulbrich E, et al. Cystic colon duplication causing intussusception in a 25-year-old man: Report of a case and review of the literature. BMC Surg 2010 23;10:19.  Back to cited text no. 55
56.Inoue Y, Nakamura H. Adenocarcinoma arising in colonic duplication cysts with calcification: CT findings of two cases. Abdom Imaging 1998;23:135-7.  Back to cited text no. 56
57.Spottswood SE. Peristalsis in duplication cyst: A new diagnostic sonographic finding. Pediatr Radiol 1994;24:344-5.  Back to cited text no. 57
58.Holcomb GW 3 rd , Gheissari A, O'Neill JA Jr, et al. Surgical management of alimentary tract duplications. Ann Surg 1989;209:167-74.  Back to cited text no. 58


  [Figure 1], [Figure 2], [Figure 3], [Figure 4]

This article has been cited by
1 Gastric duplication cyst: a challenging EUS differential diagnosis between subepithelial gastric lesion and exophytic pancreatic cystic neoplasm—a case report and a literature review
Marco Massidda, Chiara Rocchi, Giulia Tomassini, Salvatore Francesco Vadalà di Prampero, Paolo Cossu Rocca, Vincenzo Tondolo, Gabriella Manzoni, Milutin Bulajic
Clinical Journal of Gastroenterology. 2022;
[Pubmed] | [DOI]
2 Intestinal malrotation with concurrent duodenal duplication cyst in a 1-day-old infant
Derek R. Marlor, Hunter Freisen, Khaled M. Taghlabi, Nelimar Cruz Centeno, Kurt Schropp
Journal of Pediatric Surgery Case Reports. 2022; : 102422
[Pubmed] | [DOI]
3 Heterotopic duplication cysts
Alyssa Brown, Daniel Rust, Walter Chwals
Journal of Pediatric Surgery Case Reports. 2022; : 102458
[Pubmed] | [DOI]
4 Endoscopic submucosal dissection with ductotomy for the resection of a gastric duplication cyst with a communicating duct
Cem Simsek, Marvin Ryou, Christopher C. Thompson, Hiroyuki Aihara
VideoGIE. 2022; : 309
[Pubmed] | [DOI]
5 Pediatric Congenital Lung Malformations
Patrick Tivnan, Abbey J. Winant, Monica Epelman, Edward Y. Lee
Radiologic Clinics of North America. 2022; 60(1): 41
[Pubmed] | [DOI]
6 Small Bowel Congenital Anomalies
Grant Morris, Alfred Kennedy
Surgical Clinics of North America. 2022;
[Pubmed] | [DOI]
7 A rare case of a congenital pancreatic duplication cyst in an infant complicated by an upper GI bleed, pancreatitis, cyst infection and gastric outlet obstruction
Lina Cadili, Krystal L Cullen, Nicola J Finn, Andrew Singh, Eric Webber, Allen H Hayashi
Journal of Surgical Case Reports. 2022; 2022(7)
[Pubmed] | [DOI]
8 A rare case of gastric duplication cyst in a male paediatric Caucasian patient: a case report
Ruthwik Duvuru, Ahmad AlAwadhi, Faisal Nawaz, Aftab Ahmed, Afnan W M Jobran, Aya Zazo
Journal of Surgical Case Reports. 2022; 2022(10)
[Pubmed] | [DOI]
9 Gastric Duplication Cyst
Caroline Blakley, Alejandro Ruiz-Elizalde, Zhongxin Yu, Sirish Palle
Journal of Pediatric Gastroenterology & Nutrition. 2022; 75(5): e106
[Pubmed] | [DOI]
10 Approach to Mediastinal Fine Needle Aspiration Cytology
Zaibo Li, Huihong Xu, Fang Fan
Advances in Anatomic Pathology. 2022; Publish Ah
[Pubmed] | [DOI]
11 A Case of Esophageal Duplication Cyst Identified on Cardiac Point-of-Care Ultrasound
Charlotte Grandjean-Blanchet, Maya Harel-Sterling, Mark O. Tessaro
Pediatric Emergency Care. 2022; 38(5): 243
[Pubmed] | [DOI]
12 Rectal duplication cyst in an adult with a history of imperforate anus: a diagnostic challenge
Sofia Cavadas, Eduarda Gonçalves, Carlos Costa-Pereira, Joaquim Costa-Pereira
BMJ Case Reports. 2022; 15(3): e248791
[Pubmed] | [DOI]
13 Recto-vestibular fistula with colonic duplication: report of three cases and review of literature
Rajat Piplani, Samir K. Acharya, Deepak Bagga
Annals of Pediatric Surgery. 2022; 18(1)
[Pubmed] | [DOI]
14 Complete colonic duplication presenting as hip fistula in an adult with pelvic malformation: A case report
Xuan Cai, Jing-Tao Bi, Zhi-Xue Zheng, Ya-Qi Liu
World Journal of Clinical Cases. 2022; 10(30): 11037
[Pubmed] | [DOI]
15 Duplication cyst of the stomach: features of diagnosis and treatment
S. V. Dzhantukhanova, Y. G. Starkov, A. B. Badakhova, R. D. Zamolodchikov
Experimental and Clinical Gastroenterology. 2022; (5): 142
[Pubmed] | [DOI]
16 Bleeding per rectum in pediatric population: A pictorial review
Karamvir Chandel, Rishabh Jain, Anmol Bhatia, Akshay Kumar Saxena, Kushaljit Singh Sodhi
World Journal of Clinical Pediatrics. 2022; 11(3): 270
[Pubmed] | [DOI]
17 Bleeding per rectum in pediatric population: A pictorial review
Karamvir Chandel, Rishabh Jain, Anmol Bhatia, Akshay Kumar Saxena, Kushaljit Singh Sodhi
World Journal of Clinical Pediatrics. 2022; 11(3): 271
[Pubmed] | [DOI]
18 A Rare Case of Ectopic Colonic Mucosa Presenting With Airway Compromise in a Neonate
Justin Hall, Fatima Z Aly, Julia Comer, Michael P Gebhard, Thomas Schrepfer
Cureus. 2022;
[Pubmed] | [DOI]
19 Asymptomatic Enteric Duplication Cyst in a Geriatric Cat: Case Report and Review of the Literature
William Bertram Phipps,Andrew Frederick Rich,Matteo Rossanese
Journal of the American Animal Hospital Association. 2021; 57(3): 133
[Pubmed] | [DOI]
20 An Esophageal Leiomyoma Mistaken as an Esophageal Duplication Cyst
Won Yong Seo,Gwang Ha Kim,Hoseok I
The Korean Journal of Helicobacter and Upper Gastrointestinal Research. 2021; 21(2): 152
[Pubmed] | [DOI]
21 Cystic Nontubular Jejunal Duplication Cyst Presenting As Acute Intestinal Obstruction: A Surgical Challenge
Muhammad Khalid Syed,Ahmad A Al Faqeeh,Talal Almas,Hasan Alaeddin,Abdulla Hussain Al-Awaid
Cureus. 2021;
[Pubmed] | [DOI]
22 Fussiness and New-Onset Diarrhea for 2 Weeks in a 9-week-old Girl
Andrew K. Boulos,Rachel A. Long
Pediatrics in Review. 2021; 42(10): 562
[Pubmed] | [DOI]
23 Endoscopic treatment of duodenal duplication cyst
V.I. Panteleev,L.A. Marinova,A.R. Kaldarov,D.S. Gorin,A.G. Kriger
Khirurgiya. Zhurnal im. N.I. Pirogova. 2021; (3): 66
[Pubmed] | [DOI]
24 A Case of Laparoscopic Partial Gastrectomy for Foregut Duplication of the Stomach
Masazumi INOUE,Masaru KIMATA,Takayoshi KANEDA,Masayuki SHIMODA,Akiyoshi NISHIKAWA,Hiroharu SHINOZAKI
Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association). 2021; 82(1): 72
[Pubmed] | [DOI]
25 Caecal duplication, a case report
Michele Corroppolo, Elisa Pani, Maria Teresa Bortolami, Hamid Reza Sadri, Fabio Beretta, Clara Revetria, Giosuè Mazzero, Enrico Ciardini
La Pediatria Medica e Chirurgica. 2021; 43(2)
[Pubmed] | [DOI]
26 Rare presentation of rectal duplication cyst as perineal hernia in an adult
Rahul Bhat,Rajat Ravindrakumar Choudhari,Shivananda Prabhu,Poornachandra Thejeswi
BMJ Case Reports. 2021; 14(4): e239879
[Pubmed] | [DOI]
27 A rare case of perforated gastric duplication cyst associated with gastric diverticulum
Joseph M Smith,Jessie A Elliott,Amy E Gillis,Paul F Ridgway
BMJ Case Reports. 2021; 14(3): e239971
[Pubmed] | [DOI]
28 Endoscopic Management of Symptomatic Duodenal Duplication Cysts: Two Case Reports
Sara Teles de Campos, Ricardo Rio-Tinto, Miguel Bispo, Susana Marques, Paulo Fidalgo, Jacques Devière
GE - Portuguese Journal of Gastroenterology. 2021; : 1
[Pubmed] | [DOI]
29 Small intestine duplication cyst with recurrent hematochezia: a case report and literature review
Zhicheng Zhang,Xiaowei Huang,Qian Chen,Demin Li,Qi Zhou,Jinjin Huang,Yongdong Feng,Junbo Hu,Hua Qin
BMC Gastroenterology. 2021; 21(1)
[Pubmed] | [DOI]
30 Surgery in congenital lung malformations: the evolution from thoracotomy to VATS, 10-year experience in a single center
Kenan C. Ceylan,Güntug Batihan,Ahmet Üçvet,Soner Gürsoy
Journal of Cardiothoracic Surgery. 2021; 16(1)
[Pubmed] | [DOI]
31 Pancreatic ductal adenocarcinoma in a patient with pancreas divisum and gastrointestinal duplication cyst: a case report
Naoto Takahashi,Hiroyuki Nitta,Akira Umemura,Hirokatsu Katagiri,Shoji Kanno,Daiki Takeda,Kenji Makabe,Satoshi Amano,Masao Nishiya,Noriyuki Uesugi,Tamotsu Sugai,Akira Sasaki
Surgical Case Reports. 2021; 7(1)
[Pubmed] | [DOI]
32 A retroperitoneal supra-adrenal non-communicating gastric duplication cyst: a case report and comprehensive literature review
Mahmood Masud Al Awfi,Zainab Nasser Al Balushi,Suad Rashid Al Jahdhami,Mahmoud Hatem Sherif,Sareyah Al Sibai
Annals of Pediatric Surgery. 2021; 17(1)
[Pubmed] | [DOI]
33 Rare diseases of esophagus: surgical treatment of cysts in adults. Case report
Vladimir Parshin,Sergey Osminin,Roman Komarov,Sergey Vetshev,Yuriy Strakhov,Ivan Ivashov
International Journal of Surgery Case Reports. 2021; : 105732
[Pubmed] | [DOI]
34 An ileal duplication cyst case report: From diagnosis to treatment
Valerio DæAgostino,Anna Castaldo,Antonio Catelli,Ilaria Pesce,Stefano Genovese,Luigi Coppola,Alessandro Monaci,Ciro Esposito,Michele Amitrano
Radiology Case Reports. 2021; 16(7): 1597
[Pubmed] | [DOI]
35 Congenital colorectal tubular duplication in an infant: A tale of radiological diagnostic challenges
Selim Ahmed,Mohd Syafiek Saifuddin,Chiak Yot Ng,Nik Fatimah Salwati,Firdaus Hayati,Suseela Ismail
Radiology Case Reports. 2021; 16(11): 3289
[Pubmed] | [DOI]
36 Unilateral vocal cord paresis following excision of a large esophageal duplication cyst via median sternotomy in a neonate
I. Ioannis Georgopoulos,Eleftheria Mavrigiannaki,Nikolaos Christopoulos,Antonios Kourtesis
Journal of Pediatric Surgery Case Reports. 2021; : 101796
[Pubmed] | [DOI]
37 A tracheal duplication cyst in an adult: Is it time to call the pediatric surgeon?
Maximiliano Servin-Rojas, Jamie R. Robinson, Karen Alexander, Sukgi Choi, Benjamin Zendejas
Journal of Pediatric Surgery Case Reports. 2021; : 102147
[Pubmed] | [DOI]
38 Gastrointestinal duplication cysts: what a radiologist needs to know
Darshan Gandhi,Tushar Garg,Jignesh Shah,Harpreet Sawhney,Benjamin James Crowder,Arpit Nagar
Abdominal Radiology. 2021;
[Pubmed] | [DOI]
39 Chronic gastroesophageal reflux disease secondary to a distal esophageal duplication cyst associated with a hiatal hernia
Jorge Alberto Saldaña-Rodriguez,Mauricio Gonzalez-Urquijo,Diana Padilla-Armendariz,H. Alejandro Rodriguez,Adolfo Leyva-Alvizo
European Surgery. 2020;
[Pubmed] | [DOI]
40 Adenocarcinoma over a jejunal duplication cyst
Andrea Craus-Miguel,Alessandro Bianchi,Alberto Pagan-Pomar,Isabel Torralba Cloquell,Xavier Francesc González-Argenté
Cirugía Española (English Edition). 2020;
[Pubmed] | [DOI]
41 Adenocarcinoma sobre quiste de duplicación yeyunal
Andrea Craus-Miguel,Alessandro Bianchi,Alberto Pagan-Pomar,Isabel Torralba Cloquell,Xavier Francesc González-Argenté
Cirugía Española. 2020;
[Pubmed] | [DOI]
42 Small bowel obstruction caused by primary adenocarcinoma arising from an ileal tubular type foregut duplication cyst
Jialing Huang,Wenqing Cao,Galina Glinik,Ruliang Xu
Human Pathology: Case Reports. 2020; 21: 200389
[Pubmed] | [DOI]
43 Gastrointestinal duplication cyst resulting in abdominal obstruction, pancreatitis, and intractable vomiting
Hilina T. Kassa,Sarah T. Cohen,Abigail E. Martin,Adil Z. Solaiman
Journal of Pediatric Surgery Case Reports. 2020; : 101656
[Pubmed] | [DOI]
44 Orbeez ingestion can mimic duplication cysts as a cause of pediatric small bowel obstruction
Cody Lendon Mullens,K. Conley Coleman,Dan W. Parrish,Richard Vaughan
Journal of Pediatric Surgery Case Reports. 2020; : 101711
[Pubmed] | [DOI]
45 Differential diagnosis for esophageal protruded lesions using a deep convolution neural network in endoscopic images
Min Zhang,Chang Zhu,Yun Wang,Zihao Kong,Yifei Hua,Weifeng Zhang,Xinmin Si,Bixing Ye,Xiaobing Xu,Lurong Li,Ding Heng,Baiyun Liu,Song Tian,Jiangfen Wu,Yini Dang,Guoxin Zhang
Gastrointestinal Endoscopy. 2020;
[Pubmed] | [DOI]
46 Fiber-optic endoscopic ultrasonic imaging of pipe-type seismic physical models
Zhihua Shao,Wenxuan Wang,Fengyi Chen,Xueguang Qiao
Optics & Laser Technology. 2020; 132: 106479
[Pubmed] | [DOI]
47 Congenital and hereditary cystic diseases of the abdomen
Ali Devrim Karaosmanoglu,Sevtap Arslan,Deniz Akata,Mustafa Ozmen,Mithat Haliloglu,Berna Oguz,Musturay Karcaaltincaba
Insights into Imaging. 2020; 11(1)
[Pubmed] | [DOI]
48 Obstructing Duodenal Duplication Cyst
Justus Philip, Nic Miller, Andrei Cocieru
The American Surgeon. 2020; : 0003134820
[Pubmed] | [DOI]
49 Unusual cystic lesion adjacent to the stomach
John J McGoran,Joseph H Mullineux,Christopher D Sutton,Sudarshan R Kadri
Gut. 2020; 69(7): 1161
[Pubmed] | [DOI]
50 Use of EndoFLIP to Diagnose a Duplication Cyst in a Child With Chronic Dysphagia
Yelena Korotkaya,Shaun Kunisaki,Kenneth Ng
Journal of Pediatric Gastroenterology & Nutrition. 2020; 71(3): e97
[Pubmed] | [DOI]
51 Duodenal Duplication Cysts in Children: Clinical Features and Current Treatment Choices
Valeria Dipasquale, Paolo Barraco, Simona Faraci, Valerio Balassone, Paola De Angelis, Francesco Maria Di Matteo, Luigi Dall'Oglio, Claudio Romano
Biomedicine Hub. 2020; 5(2): 1
[Pubmed] | [DOI]
52 EUS diagnosis of asymptomatic type III choledochal cyst
Mohannad Abou Saleh,Catherine Vozzo,Prabhleen Chahal
VideoGIE. 2020;
[Pubmed] | [DOI]
53 Benign lesions of the mediastinum: A review with emphasis on cytology and small biopsy specimens
Brian D. Stewart,Christopher J. VandenBussche,Marino E. Leon
Seminars in Diagnostic Pathology. 2020;
[Pubmed] | [DOI]
54 Applications of Computational Methods in Biomedical Breast Cancer Imaging Diagnostics: A Review
Kehinde Aruleba,George Obaido,Blessing Ogbuokiri,Adewale Oluwaseun Fadaka,Ashwil Klein,Tayo Alex Adekiya,Raphael Taiwo Aruleba
Journal of Imaging. 2020; 6(10): 105
[Pubmed] | [DOI]
55 Esophageal bronchogenic cyst excised by endoscopic submucosal tunnel dissection: A case report
Fen-Ming Zhang,Hong-Tan Chen,Long-Gui Ning,Yue Xu,Guo-Qiang Xu
World Journal of Clinical Cases. 2020; 8(2): 353
[Pubmed] | [DOI]
56 Microforceps in the Diagnosis of Pancreatic Bronchogenic Cyst Under Endoscopic Ultrasound Guidance
Abdul Kouanda,Sarah Umetsu,Sun-Chuan Dai
ACG Case Reports Journal. 2020; 7(3): e00356
[Pubmed] | [DOI]
57 Deroofing and Excision of Duodenal Duplication Cyst
Chandrasekar Thoguluva Seshadri,Gokul Bollu Janakan,Sathiamoorthy Suriyanarayanan,Raja Yogesh Kalamegam,Viveksandeep Thoguluva Chandrasekar
ACG Case Reports Journal. 2019; 6(11): e00224
[Pubmed] | [DOI]
58 Visual Diagnosis: Melena in a 13-month-old Girl
Malinda Wu,Meghan Kessler,Brett W. Engbrecht,Mark Tulchinsky,Michael M. Moore,Chandran P. Alexander
Pediatrics in Review. 2019; 40(5): e18
[Pubmed] | [DOI]
59 Caecal duplication cyst leading to intussusception in an adult
Maha A Al-Shaibi,Sameer B Raniga,Abdul N M Asghar,Ikhtiyar S Al Tubi
BMJ Case Reports. 2019; 12(9): e230567
[Pubmed] | [DOI]
60 An incidental finding of an oesophageal duplication cyst
Avinash Aujayeb,Parag Narkhede
BMJ Case Reports. 2019; 12(8): e231753
[Pubmed] | [DOI]
61 Symptomatic Duodenal Duplication Cyst Treated Endoscopically
Mafalda Sousa,Luísa Proença,Sónia Fernandes
GE - Portuguese Journal of Gastroenterology. 2019; 26(2): 145
[Pubmed] | [DOI]
62 A case of duodenal duplication cyst mimicking a pancreatic pseudocyst with intracystic hemorrhage
Sotaro Fukuhara,Saburo Fukuda,Hiroyuki Sawada,Masayuki Shishida,Sho Ishikawa,Kohata Akihiro,Azusa Kai,Yuzoh Hirata,Seiji Fujisaki,Mamoru Takahashi,Hideto Sakimoto
Surgical Case Reports. 2019; 5(1)
[Pubmed] | [DOI]
63 Bowel Imaging in Children: Part 1
Devasenathipathy Kandasamy,Raju Sharma,Arun Kumar Gupta
The Indian Journal of Pediatrics. 2019;
[Pubmed] | [DOI]
64 Seeing Double: An Unusual Case of Chronic Recurrent Nausea, Vomiting and Epigastric Pain
Sameen Khalid,Anas Gremida,Tarun Rustagi,Denis McCarthy
Digestive Diseases and Sciences. 2019; 64(2): 349
[Pubmed] | [DOI]
65 Recurrent acute pancreatitis caused by duodenal duplication cyst in a young patient
Giuseppe Cicero,Francesca Catanzariti,Ugo Barbaro,Velio Ascenti,Silvio Mazziotti
Clinical Case Reports. 2019;
[Pubmed] | [DOI]
66 54-cm enteric duplication cyst in a 13-year-old female
Mohamed Elghazali Ahmed Basheer Elhasan,Younis A. Sirdab,Imad A. Bakheit
Clinical Case Reports. 2018;
[Pubmed] | [DOI]
67 Retroperitoneal Mucinous Neoplasm Arising from Colonic Duplication Cyst
María M. Rojas-Rojas,Marcela Mejiah,Martha Mora,Jorge Otero,Fernando Arias-Amézquita,Eduardo Londoño-Schimmer,Paula A. Rodríguez-Urrego
Journal of Gastrointestinal Cancer. 2018;
[Pubmed] | [DOI]
68 Enteric duplication cysts in children: varied presentations, varied imaging findings
Cinta Sangüesa Nebot,Roberto Llorens Salvador,Elena Carazo Palacios,Sara Picó Aliaga,Vicente Ibañez Pradas
Insights into Imaging. 2018;
[Pubmed] | [DOI]
69 Endoscopic Decompression and Marsupialization of A Duodenal Duplication Cyst
Eliza I-Lin Sin,Ennaliza Salazar,Christopher Jen Lock Khor,Yee Low
Journal of Pediatric Surgery Case Reports. 2018; 33: 37
[Pubmed] | [DOI]
70 A Tale of Three Tails and a Cystic Lesion: A Rare Cause of Recurrent Acute Pancreatitis
Sajan Jiv Singh Nagpal,Michael J. Levy,Naoki Takahashi,Michael L. Kendrick,Thomas C. Smyrk,Randall K. Pearson,Shounak Majumder
The American Journal of Gastroenterology. 2018;
[Pubmed] | [DOI]
71 Endoscopic Treatment of Colonic Duplication Cyst: A Case Report and Review of the Literature
Rajat Garg,Louis D. Saravolatz,Mohammed Barawi
Case Reports in Gastrointestinal Medicine. 2018; 2018: 1
[Pubmed] | [DOI]
72 Application of endoscopic ultrasound-guided-fine needle aspiration combined with cyst fluid analysis for the diagnosis of mediastinal cystic lesions
Yuchong Zhao,Ronghua Wang,Yun Wang,Qian Chen,Liangkai Chen,Wei Hou,Limin Liu,Wei Gao,Bin Cheng
Thoracic Cancer. 2018;
[Pubmed] | [DOI]
73 Gastric duplication cyst communicating to accessory pancreatic lobe: A case report and review of the literature
Michael Rousek,David Kachlik,Andrej Nikov,Jirina Pintova,Miroslav Ryska
World Journal of Clinical Cases. 2018; 6(16): 1182
[Pubmed] | [DOI]
74 Adenocarcinoma Arising from a Gastric Duplication Cyst
Brian P.H. Chan,Martin Hyrcza,Jennifer Ramsay,Frances Tse
ACG Case Reports Journal. 2018; 5(1): e42
[Pubmed] | [DOI]
A. N. Smirnov,Nadezhda V. Gavrilenko
Russian Journal of Pediatric Surgery. 2018; 22(6): 309
[Pubmed] | [DOI]
76 A Case of Hemorrhage of an Esophageal Duplication Cyst Improved by Endoscopic Drainage
In Sub Han,Gwang Ha Kim,Seong Jun Lee,Bong Eun Lee,Hoseok I,Yeong Dae Kim
The Korean Journal of Gastroenterology. 2017; 69(6): 363
[Pubmed] | [DOI]
77 Intrapancreatic Enteric Duplication Cyst Masquerading as Groove Pancreatitis
Remil Simon,Evon Zoog,George Philips,Jacob Dowden
ACG Case Reports Journal. 2017; 4(1): e123
[Pubmed] | [DOI]
78 Infected mediastinal bronchogenic cyst successfully treated by endoscopic ultrasound-guided fine-needle aspiration drainage through the esophagus
Ilia Omari Davarashvili,Yulia Epstein,Tawfik Khoury
Digestive Endoscopy. 2017;
[Pubmed] | [DOI]
79 Esophageal duplication cyst with hemivertebrae
Yanfang Liu,Ling Zhou,Shuixue Li,Jun He,Jun Abudusaimi,Kai Li,Kai Aziguli,Haixia Yao
Medicine. 2017; 96(46): e8398
[Pubmed] | [DOI]
80 Esophageal duplication and congenital esophageal stenosis
A. Francois Trappey,Shinjiro Hirose
Seminars in Pediatric Surgery. 2017;
[Pubmed] | [DOI]
81 Evaluation of Transabdominal Ultrasound with Oral Cellulose-Based Contrast Agent in the Detection and Surveillance of Gastric Ulcer
Zhijun Liu,Jintao Guo,Shupeng Wang,Ying Zhao,Zhining Liu,Jing Li,Weidong Ren,Shaoshan Tang,Limei Xie,Ying Huang,Siyu Sun,Liping Huang
Ultrasound in Medicine & Biology. 2017; 43(7): 1364
[Pubmed] | [DOI]
82 A Congenital Gastric Anomaly, Masquerading as Gastrointestinal Stromal Tumor
Malav Prafulkumar Parikh,Niyati Mahesh Gupta,Madhusudhan R. Sanaka
Gastroenterology. 2017;
[Pubmed] | [DOI]
83 A Rare Etiology of Idiopathic Recurrent Acute Pancreatitis
Malay Sharma,Piyush Somani
Gastroenterology. 2017; 152(6): 1295
[Pubmed] | [DOI]
84 Gastric outlet obstruction caused by duplication of duodenum – A case report and review of literature
Ewa Matuszczak,Wojciech Debek,Katarzyna Kondej-Muszynska,Monika Kowalczuk,Dariusz Lebensztejn,Adam Hermanowicz
Pediatria Polska. 2016;
[Pubmed] | [DOI]
85 Ileal duplication cyst in the elderly complicated by appendicitis: A rare case report and review of literature
Kamal S. Yadav,Priyanka A. Sali,Bhushan Bhole,Chandralekha Tampi,Hitesh Mehta
International Journal of Surgery Case Reports. 2016; 27: 24
[Pubmed] | [DOI]
86 Endoscopic ultrasound of esophageal duplication cyst
Piyush Somani,Malay Sharma
Indian Journal of Gastroenterology. 2016;
[Pubmed] | [DOI]
87 Small Bowel Congenital Anomalies: a Review and Update
Grant Morris,Alfred Kennedy,William Cochran
Current Gastroenterology Reports. 2016; 18(4)
[Pubmed] | [DOI]
88 A Case Report of Esophageal Bronchogenic Cyst and Review of the Literature With an Emphasis on Endoscopic Ultrasonography Appearance
Chaoqun Han,Rong Lin,Jun Yu,Qin Zhang,Yang Zhang,Jun Liu,Zhen Ding,Xiaohua Hou
Medicine. 2016; 95(11): e3111
[Pubmed] | [DOI]
89 Safety and Efficacy of Endoscopic Therapy for Nonmalignant Duodenal Duplication Cysts
Mihajlo Gjeorgjievski,Palaniappan Manickam,Gehad Ghaith,Mitchell S. Cappell
Medicine. 2016; 95(22): e3799
[Pubmed] | [DOI]
90 Two Cases of Intraluminal “Windsock” Diverticula Resulting in Partial Duodenal Obstruction
Vikram Anand,Justin Provost,Maged Bakr,Christopher Bach,Prakriti Merchant,Christopher Brown,Claudia Gruss
ACG Case Reports Journal. 2016; 3(4): e135
[Pubmed] | [DOI]
91 A Complicated Ileal Duplication Cyst in a Young Adult: The Value of the “Gut Signature”
Marco Di Serafino,Rosa Severino,Carmela Mercogliano,Francesco Lisanti,Ciro De Martino,Rosario Rocca,Rosaria Abate,Michele Salata,Gianfranco Vallone,Domenico Maroscia
Open Journal of Radiology. 2016; 06(02): 100
[Pubmed] | [DOI]
92 Tubular Colonic Duplication Presenting as Rectovestibular Fistula
Parag J. Karkera,Pradnya Bendre,Flavia Dæsouza,Mukunda Ramchandra,Amol Nage,Nitin Palse
Pediatric Gastroenterology, Hepatology & Nutrition. 2015; 18(3): 197
[Pubmed] | [DOI]
93 Retention Cyst in the Cervical Esophagus —Report of a Case and Literature Review—
Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association). 2015; 76(7): 1644
[Pubmed] | [DOI]
94 Presentation and Surgical Management of Duodenal Duplication in Adults
Caroline C. Jadlowiec,Beata E. Lobel,Namita Akolkar,Michael D. Bourque,Thomas J. Devers,David W. McFadden
Case Reports in Surgery. 2015; 2015: 1
[Pubmed] | [DOI]
95 Evaluation of transabdominal ultrasound after oral administration of an echoic cellulose-based gastric ultrasound contrast agent for gastric cancer
Zhijun Liu,Jintao Guo,Shupeng Wang,Ying Zhao,Jing Li,Weidong Ren,Shaoshan Tang,Limei Xie,Ying Huang,Siyu Sun,Liping Huang
BMC Cancer. 2015; 15(1)
[Pubmed] | [DOI]
96 Diagnose und Therapie benigner Tumoren des ösophagogastralen Übergangs
A.J. Eckardt,H. Lang,I. Gockel
Der Chirurg. 2014; 85(12): 1073
[Pubmed] | [DOI]


Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
Access Statistics
Email Alert *
Add to My List *
* Registration required (free)

  In this article
   Esophageal dupli...
   Gastric duplicat...
   Bronchogenic dup...
   Small bowel dupl...
   Large Bowel/Rect...
   Article Figures

 Article Access Statistics
    PDF Downloaded2553    
    Comments [Add]    
    Cited by others 96    

Recommend this journal