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Gastric Duplication Cyst Presenting as Massive Gastrointestinal Bleeding.
Alexey Youssef1,2, Alexander Ibrahim1, Zuheir AlShehabi3,4
1Faculty of Medicine, Tishreen University, Latakia, Syria.
Pediatric Gastroenterology, Hepatology & Nutrition
|March 23, 2019
Summary
Gastric duplication cysts (GDCs) are rare congenital anomalies. This case highlights a GDC presenting as massive gastrointestinal bleeding in an infant, successfully treated with surgery.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Congenital Anomalies
Background:
- Gastric duplication cysts (GDCs) are uncommon congenital malformations.
- GDCs can manifest with diverse clinical presentations, ranging from asymptomatic masses to severe gastrointestinal (GI) bleeding.
Observation:
- A 10-month-old infant presented with massive GI hemorrhage and hematemesis.
- Initial abdominal ultrasound was inconclusive; computerized tomography (CT) was initially unavailable.
- Repeated esophagogastroduodenoscopies revealed GDC penetration into the gastric lumen.
Findings:
- Computerized tomography later confirmed the GDC's intraluminal extension.
- The infant experienced massive GI bleeding attributed to the GDC.
Implications:
- This case underscores the importance of considering GDCs in infants with unexplained GI hemorrhage.
- Diagnostic challenges highlight the utility of endoscopy in GDC evaluation.
- Surgical resection remains an effective treatment for symptomatic GDCs.
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