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Updated: Aug 15, 2026

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
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.
Abstract:
We report a 13-year-old boy who was detected to have an abdominal mass on ultrasonography. A possibility of tuberculous lymph nodes was considered in view of history of pain, low fever, and anorexia. Histology of the excised mass showed complete gastric duplication cyst.
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