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Gastric duplication presenting rectal bleeding. A clinical case supporting McLedtchie's theory
J M da Costa1, C M Mariz, J A de Sousa
1Oporto Faculty of Medicine, Hospital São João Porto, Portugal.
Arquivos De Gastroenterologia
|April 1, 1993
Summary
A rare case of massive rectal bleeding in an infant was caused by a gastric duplication cyst that perforated and eroded the colon. This condition was associated with heterotopic pancreas and pancreatic duplication, a previously unreported finding.
Area of Science:
- Gastroenterology
- Pediatric Surgery
- Developmental Biology
Background:
- Gastric duplication cysts are rare congenital anomalies.
- Rectal bleeding in infants can indicate serious underlying pathology.
- Heterotopic pancreas and pancreatic duplication are uncommon findings.
Observation:
- A 5-month-old female infant presented with massive rectal bleeding.
- The bleeding was attributed to a perforated gastric duplication cyst.
- The cyst had eroded into the transverse colon.
Findings:
- The gastric duplication cyst was associated with heterotopic pancreas and pancreatic duplication.
- This association has not been previously reported in medical literature.
- Embryonic entoectodermal adhesions are hypothesized as the cause of these duplications.
Implications:
- This case highlights a rare cause of massive rectal bleeding in infants.
- The findings expand the understanding of congenital gastrointestinal anomalies.
- Early diagnosis and surgical intervention are crucial for managing such conditions.