case_images: PMC5350484_01
case_images: (a) Obstruction series. (b) CT with PO and IV contrast.
case_images: CRIPE2017-2348274.001.jpg
case_images: PMC5350484_01_CRIPE2017-2348274.001.jpg
case_images: fig1
case_images: A repeat 3-view obstruction series (Figure 1(a)) was obtained after admission because of continued vomiting. CT scan revealed a uniformly thin walled fluid attenuation mass in the epigastric region, which did not opacify with contrast, suggesting a duplication cyst or a choledochal cyst (see arrow in Figure 1(b)). Correlation with ultrasound was recommended, to evaluate "gut signature" or continuity with the biliary tract.
case_images: Cystic duplication sketch. Sketch by Paul Rogers, CMI, medical illustrator/photographer/videographer/graphics, Cooper University Hospital.
case_images: CRIPE2017-2348274.002.jpg
case_images: PMC5350484_01_CRIPE2017-2348274.002.jpg
case_images: fig2
case_images: A cystic duplication, measuring approximately 5 cm in width, was identified over the distal greater curvature of the stomach (Figure 2).