Duplication cyst of the pylorus: a rare cause of gastric outlet obstruction

Arshad, Muhammad; Jeelani, Sarah Masroor; Siddiqui, Asma; Rehan, Rana

doi:10.1136/bcr-2017-223384

Cited by 3 publications

(3 citation statements)

References 10 publications

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“…11 Gastric duplication cyst are mostly diagnosed in the neonatal period, but may present anywhere from 1 day of age up to 5 years of age and is thus not limited to the neonatal period alone. 6,12 Our patient presented at 3 years of life. Such a late presentation is uncommon and was encountered in only five cases in the literature with ages between 2 and 5 years old.…”

Section: Discussionmentioning

confidence: 84%

“…Such a late presentation is uncommon and was encountered in only five cases in the literature with ages between 2 and 5 years old. 12 The most common image modality used in these cases is ultrasonography. Other diagnostic studies, including upper gastrointestinal contrast study, gastrointestinal endoscopy, and CT abdomen, are used in establishing the preoperative diagnosis.…”

Section: Discussionmentioning

confidence: 99%

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True pylorus duplication: a case report

Mandora,

Al Nafisah,

Bamajboor

2024

Int Surg J

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True pylorus duplication cysts are particularly rare, the literature describes only a small number of cases. They account for nearly 2.2% of all alimentary tract duplications. Most of the gastric duplications presents at an age younger than one year with one-third diagnosed in the neonatal period. However, they are not limited to that period. We report a case of a true pyloric duplication cyst in a 3-year-old girl who had been experiencing frequent vomiting with occasional abdominal pain for about 15 days prior to her presentation. The patient had an abdominal ultrasound that showed an epigastric cystic mass. CT of the abdomen demonstrated a 3.8×3.8 cm mass with a claw sign proximal to the first part duodenum. The diagnosis of pyloric duplication cyst was confirmed during the operation and with the histopathological examination following the resection. The patient is doing well with an appropriate weight gain at the follow-up appointments. The patient is doing well with an appropriate weight gain at the follow-up appointments. In summary, this is an an unusual case of gastric outlet obstruction that presented outside the usual age period caused by a pyloric duplication cyst. Imaging studies including US and CT are useful aids in the diagnoses of gastrointestinal duplication cysts.

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Section: Discussionmentioning

confidence: 84%

Section: Discussionmentioning

confidence: 99%

True pylorus duplication: a case report

Mandora,

Al Nafisah,

Bamajboor

2024

Int Surg J

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“…Intraluminal pyloric duplication cysts are extremely rare [5] and hence the diagnosis is almost always never made before surgery. [6] Gordon Ramsay, in the year 1957, reported the first case of neonatal pyloric duplication. [7] Subsequently, literature on pyloric duplication in neonates has been limited to case reports.…”

Section: Discussionmentioning

confidence: 99%

Intraluminal pyloric duplication cyst- a rare cause of non-bilious vomiting in a neonate: A case report

et al. 2021

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Background: Duplications of the alimentary tract are rare congenital malformations, out of which, true pyloric duplications constitute only 2.2%. They present with non-bilious vomiting and mimic hypertrophic pyloric stenosis (HPS). Pyloric duplications that are intraluminal are not separately visible at laparotomy, making their diagnosis difficult. Case presentation: Our case is a neonate with an intraluminal pyloric duplication cyst who presented with recurrent vomiting. The radiological evaluation suggested a duplication cyst medial to the second part of the duodenum towards the stomach’s lesser curvature with features of gastric outlet obstruction. Intraoperatively, a cystic mass of 1 x 2 cm intraluminally was found on opening the pylorus which was excised and pyloroplasty was done. Postoperatively the baby was discharged in a stable condition. Conclusion: Intraluminal pyloric duplication cysts are rare and the clinical presentation mimics HPS. They should be considered as a differential diagnosis in a neonate presenting with features of gastric outlet obstruction.

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Clinical Characteristics of Gastric Duplication in Children

Liu

Lan

et al. 2022

Front. Pediatr.

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BackgroundTo investigate the clinical characteristics of gastric duplication (GD) in children.MethodsThe clinical data of 17 children with GD who were treated in our hospital from July 2015 to June 2021 were analyzed retrospectively. There were 8 males and 9 females, aged from 2 months to 11 years. All children underwent laparoscopic GD resections and postoperative pathological diagnosis was GD. In addition, we searched and analyzed the literature on GD in children from 1 January 2011 to 31 December 2021 from the PubMed, EMBASE, and Cochrane Library databases.ResultsGastric duplication was more common in females, with the most common cystic type occurring in the greater curvature of the stomach. Vomiting is the most common clinical manifestation. Ultrasound is an effective method for the early screening of GD. In this study, one patient who had multiple GDs underwent laparoscopic cystectomy and mucosectomy, one patient was converted to open surgery, and all other children underwent laparoscopic cystectomies. The time to oral intake was 2.3 ± 1.0 days (range: 1–4 days), and the postoperative hospital stay was 5.7 ± 1.7 days (range: 2–9 days). All children were followed up for 6–77 months and had an uneventful recovery with the resolution of the preoperative symptoms.ConclusionGastric duplication in children lacks specific clinical manifestations, and the preoperative diagnosis rate is not high, so surgical exploration combined with pathological examination is often needed to make a clear diagnosis. Laparoscopic cystectomy can achieve good therapeutic results.

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Duplication cyst of the pylorus: a rare cause of gastric outlet obstruction

Cited by 3 publications

References 10 publications

True pylorus duplication: a case report

True pylorus duplication: a case report

Intraluminal pyloric duplication cyst- a rare cause of non-bilious vomiting in a neonate: A case report

Clinical Characteristics of Gastric Duplication in Children

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