Keywords
Duplication Cyst; gastric; mucosal stripping; pseudocyst
Abstract
Objective: Gastric duplication cyst is rare. The symptoms and signs are nonspecific. Thus, preoperative diagnosis often becomes difficult. It should be differentiated from other possible cases of gastric outlet obstruction. Inspite of this, the prognosis has improved due to improvised operative techniques. We report a rare case of gastric duplication cyst which was successfully treated by mucosal tripping of the cyst wall.
Case Report: A 1-year 5-months boy presented with features of gastric outlet obstruction. A thorough preoperative investigation failed to reach the diagnosis. On exploration, a gastric duplication cyst was detected. It shared a common wall with the stomach and thus, complete excision was not possible. The major part of the cyst was excised. Rest of the cyst wall was treated by mucosal stripping to avoid major resection of the stomach. At 2-year follow up, there was no evidence of recurrences of the symptoms.
Conclusion: Gastric duplication cyst should be kept as a differential diagnosis while dealing with any case of gastric outlet obstruction in children. And when the cyst is not amenable for complete resection, mucosal stripping can be done safely to achieve the fruitful outcome.
Citation
Halder P, Mandal KC, Debnath B and Mukhopadhyay M. Gastric Duplication Cyst in Children: A Case Report and Literature Review. SM J Pediatr Surg. 2016; 2(5): 1031.