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Late presentation of gastric duplication cyst in pediatric patient: Lessons learned
Fatima Chait1, Nourrelhouda Bahlouli1, Chaymae Faraj1
1Pediatric radiology department, Pediatric Teaching Hospital, Mohammed V University, Rabat Morocco.
Insights
This case report details a gastric duplication cyst, a rare congenital condition. Surgical excision led to a full recovery for a pediatric patient presenting with abdominal pain and vomiting.
Area of Science:
- Pediatric Surgery
- Congenital Malformations
- Gastroenterology
Background:
- Gastrointestinal duplication cysts are rare congenital anomalies.
- Gastric duplication cysts represent 2%-9% of these anomalies.
- Symptoms like epigastric pain and vomiting can mimic common conditions.
Observation:
- A 9-year-old girl presented with chronic abdominal pain and vomiting.
- Diagnostic workup included CT scan and other tests.
- A gastric duplication cyst was identified as the cause.
Findings:
- The patient underwent successful surgical excision via laparotomy.
- Complete resolution of symptoms was observed post-surgery.
- Histopathological confirmation of the gastric duplication cyst was obtained.
Implications:
- Highlights the importance of considering rare diagnoses in pediatric abdominal pain.
- Demonstrates the efficacy of surgical management for gastric duplication cysts.
- Emphasizes the need for thorough diagnostic evaluation for accurate diagnosis.
Abstract:
Gastrointestinal duplication is an infrequent congenital disorder characterized by the presence of a muscular layer covered by mucosa. Gastric duplication cysts account for approximately 2%-9% of all gastrointestinal duplication cysts. The typical clinical presentation often includes symptoms such as epigastric pain, vomiting, and the presence of a palpable abdominal mass. However, these symptoms can overlap with more common conditions. Diagnostic confirmation usually necessitates additional imaging studies, and surgical intervention is the recommended treatment approach. In this case report, we present the case of a 9-year-old girl who presented with chronic abdominal pain and vomiting. Following a comprehensive evaluation, including a CT scan and various diagnostic tests, a diagnosis of gastric duplication cyst was established. The patient subsequently underwent a laparotomy procedure, during which the cyst was completely excised. Follow-up visits indicated an uneventful recovery, with complete resolution of all symptoms. The aim of this work is to report on the clinico-radiological aspects of gastric duplication cysts and their surgical treatment.
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