Complete gastric duplication cyst

Sompal Singh1, Ruchika Gupta, A K Mandal

  • 1Department of Pathology, Maulana Azad Medical College, New Delhi 110 002, India.

Insights

A 13-year-old boy presented with an abdominal mass. Initial symptoms suggested tuberculosis, but surgery revealed a complete gastric duplication cyst, not lymph nodes.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Diagnostic Imaging

Background:

  • Abdominal masses in children can present with vague symptoms.
  • Differential diagnosis is crucial for appropriate management.
  • Tuberculosis is a consideration in endemic areas.

Observation:

  • A 13-year-old male presented with an abdominal mass identified via ultrasonography.
  • Clinical symptoms included pain, low-grade fever, and anorexia.
  • Initial suspicion leaned towards tuberculous lymph nodes.

Findings:

  • Surgical excision of the abdominal mass was performed.
  • Histopathological examination confirmed the mass as a complete gastric duplication cyst.
  • This ruled out the initial suspicion of tuberculous lymph nodes.

Implications:

  • Highlights the importance of considering rare diagnoses in pediatric abdominal masses.
  • Demonstrates the utility of advanced imaging and surgical pathology in diagnosis.
  • Gastric duplication cysts require surgical intervention for definitive treatment.

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