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Gastric duplication: endoscopic appearance and clinical features
C S Pokorny1, W J Cook, A Dilley
1Specialist Medical Centre, Liverpool, Australia.
A rare gastric duplication caused significant vomiting in a 13-year-old female. This condition, often undiagnosed before surgery, presents as a gastric outlet obstruction.
Area of Science:
- Gastroenterology
- Pediatric Surgery
Background:
- Gastric duplication cysts are rare congenital anomalies.
- They can present with various gastrointestinal symptoms, including gastric outlet obstruction.
Observation:
- A 13-year-old female presented with a 6-week history of significant vomiting.
- Endoscopy revealed a mobile antral mass, suggestive of a gastric duplication.
Findings:
- The gastric duplication cyst was identified as the cause of the patient's symptoms.
- The mass's size and location varied with gastric peristalsis.
Implications:
- Gastric duplication cysts should be considered in the differential diagnosis of pediatric gastric outlet obstruction.
- Early diagnosis can be challenging, with surgery often being the first definitive diagnostic step.
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