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Image of the MonthDiagnosis
Corresponding author: Clark J. Zeebregts, MD, Department of Surgery, University Hospital Groningen, PO Box 30001, 9700 RB Groningen, the Netherlands (e-mail: czeebregts@hotmail.com).
Arch Surg. 2004;139:688.
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Answer: Gastric Duplication Cyst
Figure 1.
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Figure 1.A contrast-enhanced single-slice spiral computed tomographic scan of the abdomen demonstrating a 7 x 5-cm cystic lesion with serous fluidfilled appearance. The mass was located dorsal to the stomach.
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Figure 2.
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Figure 2.Histologic view of the septum between the stomach and duplication cyst. The stomach is lined with fundal mucosa (small arrow), and the duplication cyst is lined with antral mucosa (large arrow). Note the simplified appearance of the epithelium of the duplication cyst, with discrete, nonspecific signs of chronic inflammation (hematoxylin-eosin, original magnification x5.5).
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Gastric duplications are relatively rare, constituting approximately 4% to 10% of all gastrointestinal duplications and having a male-female ratio of 2:1.1-2 Several theories explain the embryonic development of gastric duplications, but no single theory adequately explains all types of duplications. In 1959, Rowling3 proposed 3 morphologic criteria for the correct diagnosis of gastric duplication cysts. First, the . . . [Full Text of this Article]
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Arch Surg. 2004;139(6):687-688.
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