Background Gastric duplication cyst is a rare congenital anomaly. It is usually located in close proximity to the stomach. Nevertheless, there have been seldom reports in the literature that describe unusual locations. Retroperitoneal gastric duplications cysts are extremely rare and are usually confused with renal or adrenal cysts. Case presentation In this case report, we are presenting a 2-year-old girl with a complaint of bouts of abdominal pain, found to have a retroperitoneal supra-adrenal cyst on imaging. She underwent laparoscopic resection of the cyst with uneventful post-operative course. The histopathological diagnosis was surprisingly gastric duplication cyst. Conclusion In our review of the literature, the variability of this condition and its clinical manifestation are apparent. We also conclude that this diagnostic entity should be part of the differential diagnosis of intraperitoneal or retroperitoneal cysts and that laparoscopic resection of retroperitoneal cysts is the preferred approach.

In the absence of a national screening program for breast cancer, the high-risk approach for screening should be considered. Women with the above characteristics should be identified and motivated to seek mammogram regularly to warrant a better outcome.

Gastrointestinal gases become combustible when several gases reach a certain concentration. This occurs in situations where the gastrointestinal tract is obstructed for a certain amount of time. Hence, we present this case of a gastric explosion in a patient while performing a gastrojejunostomy. The reason underlying this combustion involved concomitant chronic pyloric stenosis. Operative procedures should include this information to enhance the safety of the patient and the surgical team.

No abstract

Objective: This study aims to retrospectively describe the clinicopathological pattern and management experience of idiopathic granulomatous mastitis in women attending care at royal hospital, a tertiary care center at sultanate of Oman. Then to compare our experience with the current literature trends. Methods: The data of patient were retrospective reviewed from 1st of January 2012 to 31st of December 2017, after receiving ethical approval from the center of studies and research. Results: Sixty-four patients were conformed to have idiopathic granulomatous mastitis. All of our patients were in the premenopausal phase with only one being nulliparous. Mastitis was the most common clinical diagnosis and half of them had a palpable mass. Most of our patient had received antibiotics during their treatment span. Drainage procedure was done in 73% of the patient, whereas excisional procedure was done for 38.7%. Only 52.4% of our patient were able to achieve complete clinical resolution within 6 months of follow-up. Conclusion: There is no standardized management algorithm, due to the paucity of high-level evidence comparing different modalities. However, Steroids, Methotrexate and surgery are all considered to be effective and acceptable treatments. Moreover, current literature tends towards multi-modality treatments planned tailed case-to-case based on the clinical context and patient’s preference. Keywords: Granulomatous; Mastitis; Chronic breast infection.