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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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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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Correspondence to Darshan Gandhi.

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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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