Gastric duplication cyst causing gastric outlet obstruction

Abstract

We report a rare case of gastric outlet obstruction in a newborn infant caused by a gastric duplication cyst. Ultrasound provided a non-invasive and conclusive diagnostic technique, which should be used as a baseline investigation for cases of suspected gastric outlet obstruction.

Gastrointestinal Duplication Presenting as Neonatal Intestinal Obstruction: An Experience of 15 Years at Tertiary Care Centre

“…The cysts become incorporated into the bowel wall and share a common blood supply with the parent bowel. [1,2] Almost all duplications in our series were saccular except colonic duplication which was tubular.…”

“…They can present at any age but 80% of cases present within first two years and majority within first three months of life with antenatal diagnosis made in significant number of cases. [1,2] Preoperative diagnosis of neonatal DC is quite challenging as to rare cause of intestinal obstruction. The objective of this study is to report our experience of 15 years in diagnosis and management of neonatal gastrointestinal duplication with focus on location, clinical presentation and associated malformations.…”

Usual and unusual causes of pediatric gastric outlet obstruction

“…c Axial CT image from the same exam at a slightly higher level reveals marked antral wall thickening from submucosal edema (arrowheads). Pericystic fluid reflects inflammatory changes body anomalies are identified-present in 5-21% of patients with duplication cysts [39,41]. US is often diagnostic and, as with other duplications, these cysts will show the "muscular rim" sign of a hypoechoic muscular outer layer and hyperechoic mucosal inner layer (Fig.…”

Laparoscopically Resected Foregut Duplication Cyst (Bronchogenic) of the Stomach

“…As was seen in our case, the ulcer formations on the top of the protruding tumor of the stomach have been reported, in which the patients presented with gastrointestinal bleeding [9,10]. Other unusual complications include gastric outlet obstruction [11] and relapsing pancreatitis [12], and hemoptysis [13]. Associated pathologies include pulmonary sequestration [14], multicystic kidney and gonadal dysgenesis [15], and hypergastrinemia [16].…”