Gastric duplication cysts are uncommon congenital anomalies and are rarely
diagnosed in adults. We present a unique case of a communicating type gastr
ic duplication in a young woman with the multimodality imaging findings inc
luding barium examination, CT, and endoscopy. The morphological criteria fo
r diagnosis of duplication cyst suggested pathogenetic mechanisms for its f
ormation as well as clinical presentation. Associated pathologies are revie
wed. (C) 1999 by Am. Cell. of Gastroenterology.