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Seeing Double: An Unusual Case of Chronic Recurrent Nausea, Vomiting and Epigastric Pain

  • Sameen KhalidEmail author
  • Anas Gremida
  • Tarun Rustagi
  • Denis McCarthy
UNM CLINICAL CASE CONFERENCES
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Case Report

A 42-year-old male was initially evaluated in the emergency department with a 2-month history of intermittent, non-radiating, dull epigastric pain exacerbated by food intake. He also complained of postprandial fullness, nausea, and multiple episodes of vomiting. These symptoms had recurred episodically for many years. He denied any unintentional weight loss, change in bowel habits, melena, hematochezia, or hematemesis. He was a chronic heavy alcohol consumer, starting drinking at age 15, currently consuming 1 pint of whiskey/day before admission. He had a history of multiple admissions due to alcohol withdrawal, epigastric pain, and hematemesis. He had had multiple esophagogastroduodenoscopies (EGDs) in the past that had shown hiatus hernia, esophagitis, and Mallory–Weiss tears, though no cause of his recurrent epigastric pain, nausea, and vomiting had been identified.

Physical examination revealed a normal appearing male with BMI of 24 kg/m2. Vital signs on admission:...

Keywords

Epigastric pain Nausea Vomiting Duplication Gastric Enteric Cyst Endoscopic ultrasound 

Notes

Compliance with ethical standards

Conflict of interest

The authors have no conflict of interest to disclose.

References

  1. 1.
    Wieczorek RL, Seidman I, Ranson JH, Ruoff M. Congenital duplication of the stomach: case report and review of the English literature. Am J Gastroenterol. 1984;79:597–602.PubMedGoogle Scholar
  2. 2.
    Liu R, Adler D. Duplication cysts: diagnosis, management, and the role of endoscopic ultrasound. Endosc Ultrasound. 2014;3:152–160.CrossRefGoogle Scholar
  3. 3.
    Bower RJ, Sieber WK, Kiesewetter WB. Alimentary tract duplications in children. Ann Surg. 1978;188:669–674.CrossRefGoogle Scholar
  4. 4.
    Doepker MP, Ahmad SA. Gastric duplication cyst: a rare entity. J Surg Case Rep. 2016;5:1–3.Google Scholar
  5. 5.
    Abdalkader M, Al Hassan S, Taha A, Nica I. Complicated gastric duplication cyst in an adult patient: uncommon presentation of an uncommon disease. J Radiol Case Rep. 2017;11:16–23.PubMedPubMedCentralGoogle Scholar
  6. 6.
    Kim DH, Kim JS, Nam ES, Shin HS. Foregut duplication cyst of the stomach. Pathol Int. 2000;50:142–145.CrossRefGoogle Scholar
  7. 7.
    Murakami S, Isozaki H, Shou T, Sakai K, et al. Foregut duplication cyst of the stomach with pseudostratified columnar ciliated epithelium. Pathol Int. 2008;58:187–190.CrossRefGoogle Scholar
  8. 8.
    Gupta S, Sleeman D, Alsumait B, Abrams L. Duplication cyst of the antrum: a case report. Can J Surg. 1998;41:248–250.PubMedPubMedCentralGoogle Scholar
  9. 9.
    Abdulla MAM, Al Saeed M, Ameer Alshaikh S, Nabar UJ. Adenocarcinoma arising from a gastric duplication cyst: a case report and literature review. Int Med Case Rep J. 2017;10:367–372.CrossRefGoogle Scholar
  10. 10.
    D’Journo XB, Moutardier V, Turrini O, Guiramand J, et al. Gastric duplication in an adult mimicking mucinous cystadenoma of the pancreas. J Clin Pathol. 2004;57:1215–1218.CrossRefGoogle Scholar
  11. 11.
    Kuraoka K, Nakayama H, Kagawa T, Ichikawa T. Adenocarcinoma arising from a gastric duplication cyst with invasion to the stomach: a case report with literature review. J Clin Pathol. 2004;57:428–431.CrossRefGoogle Scholar
  12. 12.
    Rowling JT. Some observations on gastric cysts. Br J Surg. 1959;46:441–445.CrossRefGoogle Scholar
  13. 13.
    Zheng J, Jing H. Adenocarcinoma arising from a gastric duplication cyst. Surg Oncol. 2012;21:97–101.CrossRefGoogle Scholar
  14. 14.
    O’Donnell PL, Morrow JB, Fitzgerald TL. Adult gastric duplication cysts: a case report and review of literature. Am Surg. 2005;71:522–525.PubMedGoogle Scholar
  15. 15.
    Christians KK, Pappas S, Pilgrim C, Tsai S, et al. Duplicate pancreas meets gastric duplication cyst: a tale of two anomalies. Int J Surg Case Rep. 2013;4:735–739.CrossRefGoogle Scholar
  16. 16.
    Türkvatan A, Erden A, Turkoglu MA, Bostancı EB. An unusual cause of recurrent pancreatitis: a gastric duplication cyst with an accessory pancreatic lobe. Turk J Gastroenterol. 2014;25:199–202.CrossRefGoogle Scholar
  17. 17.
    Singh JP, Rajdeo H, Bhuta K, Savino AJ. Gastric duplication cyst: two case reports and review of the literature. Case Rep Surg. 2013;2013:605059.PubMedPubMedCentralGoogle Scholar
  18. 18.
    Thomopoulos T, Farin C, Navez B. Total laparoscopic treatment of an adult gastric duplication cyst with intrapancreatic extension. Am J Case Rep. 2016;17:352–356.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Sameen Khalid
    • 1
    Email author
  • Anas Gremida
    • 1
  • Tarun Rustagi
    • 1
  • Denis McCarthy
    • 1
  1. 1.Division of Gastroenterology and Hepatology, Department of MedicineUniversity of New Mexico School of MedicineAlbuquerqueUSA

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