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Gastric Duplication: A Rare Cause of Recurrent Vomiting

Brahmananda Koduri1, Katie McHale1, Christina Yost1

  • 1Department of Pediatrics, The Children's Regional Hospital, Cooper Hospital-University Medical Center, Camden, NJ 08103, USA.

Case Reports in Pediatrics
|March 25, 2017
PubMed

Insights

Recurrent vomiting in children can signal serious conditions. This case highlights a rare gastric duplication cyst diagnosed in a three-year-old, emphasizing early imaging for prompt management.

Area of Science:

  • Pediatric Gastroenterology
  • Surgical Pediatrics
  • Diagnostic Imaging

Background:

  • Recurrent vomiting in children necessitates thorough evaluation due to potential life-threatening causes.
  • Gastric duplication cysts are rare congenital anomalies, typically diagnosed in infancy.
  • Delayed diagnosis of gastric duplication can lead to significant complications.

Observation:

  • A three-year-old female presented with persistent, unexplained recurrent vomiting.
  • Initial abdominal films showed paucity of air, prompting further investigation.
  • Computed tomography (CT) scan revealed a fluid-attenuating mass in the epigastric region.

Findings:

  • Abdominal ultrasound confirmed the presence of a gastric duplication cyst.
  • The cyst was a uniformly thin-walled, fluid-attenuated mass.
  • Surgical excision was performed for definitive treatment.

Implications:

  • This case underscores the importance of considering rare diagnoses like gastric duplication in pediatric recurrent vomiting.
  • Advanced imaging modalities (CT, ultrasound) are crucial for accurate diagnosis.
  • Early recognition and surgical intervention are key to favorable outcomes in pediatric gastric duplication.

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