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Sublingual gastric duplication cyst causing respiratory obstruction: case report
E A Ameh1, A O Jimoh, A H Rafindadi
1Paediatric Surgery Unit, Department of Surgery, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria.
East African Medical Journal
|July 17, 2003
Summary
A rare sublingual gastric duplication cyst caused feeding difficulties and respiratory obstruction in an infant. Complete surgical excision is the preferred treatment for this uncommon congenital anomaly.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Congenital Anomalies
Background:
- Gastric duplication cysts are rare congenital anomalies resulting from abnormal development of the foregut.
- Ectopic gastric mucosa can occur in various locations, but sublingual presentation is exceptionally uncommon.
- These cysts can lead to significant clinical manifestations, including airway compromise and feeding difficulties.
Observation:
- A 4-month-old infant presented with feeding difficulties and respiratory distress attributed to a sublingual cyst.
- Initial management involved needle aspiration to relieve respiratory obstruction.
- The cyst was subsequently completely excised, and histological examination confirmed it as a gastric duplication cyst.
Findings:
- Histopathology confirmed the sublingual cyst to be of gastric origin, specifically a gastric duplication cyst.
- The case highlights an unusual ectopic location for a gastric duplication cyst.
- Complete excision proved effective in resolving the infant's symptoms.
Implications:
- This case underscores the importance of considering rare congenital anomalies in the differential diagnosis of infant respiratory and feeding issues.
- Complete surgical excision is generally recommended for gastric duplication cysts.
- In cases involving vital structures, alternative surgical approaches like cyst mucosectomy may be considered.