Ruptured Thoracic and Abdominal Gastrointestinal Duplication Cysts Presenting With Failure to Thrive

Abstract

Gastrointestinal duplication cysts are rare congenital malformations, with esophageal and gastric duplication cysts being among the rarest. We report an 8-week-old female who presented to the emergency department with failure to thrive and was subsequently found to have multiple gastric and esophageal duplication cysts that had ruptured intrathoracically and intra-abdominally. We describe the diagnosis and management of this patient who underwent successful resection of 4 gastrointestinal duplication cysts. This report emphasizes the unexpected, and sometimes relatively benign, presentations of gastrointestinal duplication cysts. To our knowledge, this is the first reported occurrence of multiple duplication cysts that independently ruptured thoracically and abdominally.

Complicated gastric duplication cyst presenting as cystic intraperitoneal collection: a case report

“…It will show relations of the cyst with the surrounding viscera. Any complications if present will also be delineated well by this modality [6][7][8].…”

An epigastric mass? And what if it was an intra-abdominal esophageal duplication cyst: Case report

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Thoraco-abdominal duplications in children: Two case reports

“…The antenatal discovery is increasingly being described [12] . Elsewhere, they are usually diagnosed during the first year of life in ¾ of cases by respiratory signs due to compression of the airways by chest mass or digestive signs following secretion by the atopic mucosa [8] , [9] .…”