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Gastrointestinal duplication cysts: what a radiologist needs to know

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Abstract

Gastrointestinal tract duplication cysts are rare congenital malformations which can be diagnosed as early as the prenatal period but are frequently found in infancy or incidentally in adulthood. They can be seen throughout the alimentary tract with the most common involving the distal ileum and second most common the esophagus. Many duplication cysts are asymptomatic and thus discovered as an incidental imaging finding, though they can also be symptomatic with an array of clinical presentations dependent largely on their location. The vast majority of duplication cysts are benign; however, there are rare instances of malignant transformation reported. The aim of this review is to show how multimodality imaging can help in the diagnosis of duplication cysts at various anatomical locations. Duplication cyst can become symptomatic and in rare cases undergo malignant transformation; therefore, they are typically managed with surgical excision, particularly if found prenatally or during infancy. Given the diversity of anatomic locations, multiple differential diagnoses, and the need for surgical intervention, it is valuable to comprehend the role of multimodality imaging role in diagnosing duplication cysts.

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  1. Department of Radiology, Northwestern Memorial Hospital, Northwestern University Feinberg School of Medicine, 676 N St. Clair St, Suite 800, Chicago, IL, 60611, USA

    Darshan Gandhi

  2. Department of Radiology, Seth GS Medical College & KEM Hospital, Acharya Donde Marg, Parel East, Parel, Mumbai, Maharashtra, 400012, India

    Tushar Garg

  3. Department of Pediatric Radiology, University of Tennessee Health Science Center, Memphis, TN, 38103, USA

    Jignesh Shah

  4. Department of Radiology, Bridgeport Hospital at Yale New Haven Health, 167 Grant St, Bridgeport, CT, 06610, USA

    Harpreet Sawhney

  5. Department of Radiology, The Ohio State University Wexner Medical Center, 395W, 12th Av, 4th Floor, Columbus, OH, 43210, USA

    Benjamin James Crowder & Arpit Nagar

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DG conceived the idea of this article and contributed to writing and revision of the manuscript substantially. TG contributed to the discussion and revision of the manuscript substantially. JS contributed to the figure formation and figure legends of the manuscript substantially. HS contributed to figure formation of the manuscript and its revision. BJC contributed to reference numbering and revision of the manuscript. AN contributed to design and revision of the manuscript.

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Gandhi, D., Garg, T., Shah, J. et al. Gastrointestinal duplication cysts: what a radiologist needs to know. Abdom Radiol 47, 13–27 (2022). https://doi.org/10.1007/s00261-021-03239-w

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  • DOI: https://doi.org/10.1007/s00261-021-03239-w

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