Pyloric Duplication: About Two Cases

Ahmed, Yosra Ben; Ghorbel, S; Charieg, A.; Nouira, F; Khemekhem, R; Jlidi, S.; Chaouchi, B

doi:10.15406/jpnc.2015.02.00065

Cited by 4 publications

(3 citation statements)

References 19 publications

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“…Our patient presented at 5 years of life. Such a late presentation was also encountered only once in the literature by Ahmed et al 1. Moreover, the patient became symptomatic over a period of 2 months prior to presentation, which was not consistent with other series, who reported such symptoms occurring in the initial weeks of life and thus mimicking infantile hypertrophic pyloric stenosis 3 4 8…”

Section: Discussionmentioning

confidence: 70%

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

et al. 2018

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Alimentary tract duplications are a rare congenital malformation. They can present with varied symptoms owing to the locality of the duplication, along the gastrointestinal tract. Out of these duplications, the ones along the pylorus are the most rare. These are usually only diagnosed intraoperatively, as it is not a common differential on imaging due to its rarity. In lieu of the literature currently available, pyloric duplication cyst can present anytime from 1 week of age to 5 years, with some cases being detected antenatally due to the prevalence of regular antenatal scanning. Surgery remains the main stay of treatment with the goal of complete excision of the cyst and complete removal of the cyst mucosal lining. We report the case of a 5-year-old girl, which to our knowledge is the first ever reported case from Karachi, Pakistan.

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Section: Discussionmentioning

confidence: 70%

“…Congenital pyloric duplication cyst is one of the exceedingly rare forms of alimentary tract duplications, with only 22 cases reported in English literature 1. Majority of these are extraluminal masses more often arising from the pyloroduodenal junction.…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2018

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“…However, the delay in obtaining the CT scan contributed to the endoscopic diagnosis with documented progression of a complicated gastric duplication [7,8]. Diagnostic modalities facilitate the differential diagnosis of gastric duplication, but the disease is most commonly diagnosed during surgery [14]. We performed abdominal ultrasound and the result was thickening of gastric wall.…”

Section: Discussionmentioning

confidence: 99%

Pyloric Duplication in Ten Years Old Girl: A Case Report

Noviyani¹,

Nesa²,

Putra³

et al. 2020

AJP

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Gastrointestinal duplication cysts are rare congenital anomalies. Pyloric duplication represents 2.2% of all gastrointestinal tract duplications. The presentations merely depend on the site of occurrence, size and type of the cyst, and presence of ectopic mucosal lining. A ten years old girl vomited for two months, accompanied with stomach ache and difficulty in defecation. The color of stool sometimes was black. The body weight decreased twelve kilograms in two months. On physical examination, no abdominal distention and no palpable mass was found, bowel sound was decreased and there was tenderness in epigastric area. Nutritional status of patient was severe malnutrition. Laboratory test revealed mild hypochromic microcytic anemia, severe hyponatremia, severe hypokalemia, and hypoalbuminemia. Abdominal ultrasound revealed thickening of the gastric wall and upper gastrointestinal contrast study revealed partial stenosis with thickening of pyloric wall. Esophagogastroduodenoscopy revealed multiple gastric ulcers and gastric outlet obstruction. Cyst duplication and stricture in the pylorus were found during surgical procedure. The pediatric surgeon performed an excision of duplication cyst and gastroduodenostomy side to side anastomosis. Histopathologic examination from cyst confirmed the enteric duplication cyst. The patient was discharged in good condition. We concluded that pyloric duplication is considered as one of the differential diagnosis in children with symptoms of gastric outlet obstruction. Appropriate surgical procedures should be undertaken to avoid complications.

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