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Noncommunicating gastric duplication cyst at the pylorus in a 5-year-old child: a case report
Elisamia Ngowi1,2, Clarence Sumbizi3,4, Humrath Lusheke1,2
1Department of Paediatrics and Child Health, Aga Khan Hospital Tanzania, Dar es Salaam, Tanzania.
Insights
Gastric duplication cysts are rare congenital anomalies. Early surgical resection is crucial for a good prognosis, as delayed diagnosis can lead to complications.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Congenital Anomalies
Background:
- Gastric duplication cysts are rare congenital anomalies, accounting for less than 9% of enteric duplication cysts.
- Presentation varies from asymptomatic to severe symptoms like abdominal pain and gastric outlet obstruction.
- Early diagnosis and surgical intervention are recommended for optimal outcomes.
Introduction:
Gastric duplication cysts are rare congenital anomalies, representing less than 9% of enteric duplication cysts. Most are discovered in infancy, some are asymptomatic, and others present with abdominal pain, gastric outlet obstruction, or a palpable mass. The best treatment is early surgical resection.
Case Presentation:
We present a 5-year-old female with a history of persistent vomiting, abdominal pain, early satiety, weight loss, and palpable epigastric mass. Imaging revealed a cystic lesion obstructing the gastric outlet, consistent with a gastric duplication cyst. An exploratory laparotomy was done. The patient recovered, and histological analysis confirmed the diagnosis.
Discussion:
Most gastric duplication cysts are noncommunicating cysts. Diagnosis is confirmed through imaging and histology. Surgical excision, when performed early, offers an excellent prognosis as a small percentage of cysts differentiate into malignancies.
Conclusion:
Gastric duplication cysts are very rare, and diagnosis may be missed or delayed due to nonspecific symptoms that may overlap with gastrointestinal or urinary pathologies. A high index of suspicion is necessary in patients with persistent vomiting and abdominal pain for early diagnosis and excision.
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