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Published on: February 28, 2025

Gastric duplication cyst presenting as acute abdomen: a case report

Kanchan Kayastha1, Afzal Sheikh

  • 1Department of Pediatric Surgery, The Children's Hospital and the Institute of Child Health Lahore, Pakistan.

APSP Journal of Case Reports
|September 7, 2012
PubMed

Insights

Gastric duplication cysts, rare growths in the GI tract, can cause serious complications. Prompt surgical intervention for infected and perforated gastric duplication cysts in children leads to favorable outcomes.

Area of Science:

  • Gastroenterology
  • Pediatric Surgery
  • Surgical Pathology

Background:

  • Gastric duplication cysts (GDCs) are uncommon congenital anomalies of the gastrointestinal tract.
  • These cysts can lead to severe complications including hemorrhage, infection, perforation, and rarely, neoplastic transformation.

Observation:

  • A one-and-a-half-year-old male child presented with acute abdominal distension, pain, and fever.
  • Initial ultrasound imaging identified a cystic mass in the hypochondrium and epigastric regions.

Findings:

  • Surgical exploration revealed an infected and perforated gastric duplication cyst.
  • The patient underwent surgical excision of the cyst wall with mucosal stripping.
  • Histopathology confirmed the diagnosis of a gastric duplication cyst.

Implications:

  • This case highlights the critical importance of early diagnosis and surgical management of complicated gastric duplication cysts in pediatric patients.
  • Timely surgical intervention is crucial for achieving a positive clinical outcome and preventing further morbidity.

Keywords:
Acute abdomenGastric duplication cystPeritonitis

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