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[Gastric duplication associated with heterotopic pancreas]
F Hernanz de la Fuente1, F Sandoval González, F Fernández Fernández
1Departamento de Ciencias Médicas y Quirúrgicas, Hospital Universitario Marqués de Valdecilla.
Summary
Gastric duplication, a rare condition, was diagnosed in a neonate presenting with an abdominal mass and feeding issues. Surgical removal was successful, revealing gastric mucosa and heterotopic pancreatic tissue.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Congenital Anomalies
Background:
- Gastric duplications are rare congenital anomalies, accounting for approximately 8% of all alimentary tract duplications.
- These duplications can lead to various clinical manifestations, including abdominal masses and feeding intolerance, particularly in neonates.
Observation:
- A neonate presented with a palpable abdominal mass and significant feeding intolerance.
- Diagnostic imaging, including barium upper gastrointestinal tract study and ultrasound, revealed an extrinsic compression of the gastric antrum and an abdominal cystic mass.
Findings:
- Surgical total excision of the gastric duplication was performed without violating the gastric lumen.
- Histological examination confirmed the presence of gastric mucosa within the cyst.
- Additionally, heterotopic pancreatic tissue was identified in the adjacent major omentum.
Implications:
- This case highlights the importance of considering gastric duplication in neonates with unexplained abdominal masses and feeding difficulties.
- Successful surgical management can be achieved through complete excision.
- The presence of heterotopic pancreatic tissue warrants further investigation into its potential clinical significance and management.