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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
PubMed

Insights

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.

Keywords:
Congenital abnormalitiesCystEndoscopyGastrointestinal hemorrhageUlcer

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