A rare presentation in a case of gastric duplication cyst communicating to the pancreatic duct: coincidental detection during pyloromyotomy for hypertrophic pyloric stenosis

Journal of Pediatric Surgery
Tomoro HishikiHideo Yoshida

Abstract

A rare case of gastric duplication of childhood is reported. A 1-month-old boy underwent pyloromyotomy for infantile hypertrophic pyloric stenosis. At laparotomy, a protruding lesion was identified in the anterior wall of the pylorus. The pylorus was hypertrophic as indicated preoperatively, and a normal pyloromyotomy was performed. Wedge biopsy of the protruding lesion revealed an intestinal structure, and gastric duplication was diagnosed. The child remained asymptomatic thereafter, but considering the risk of the duplication becoming symptomatic, a second laparotomy was performed at 1 year of age. The duplication cyst shared part of the wall with the pylorus, and the cyst was removed by cystectomy, leaving the pyloric muscle intact. The cyst was found to be communicating with the pancreatic duct. The child is doing well without any symptoms as of 18 months after second laparotomy. To the best of our knowledge, this is the youngest case of gastroduodenal duplication with pancreatic duct communication yet reported.

References

Jan 1, 1995·The British Journal of Surgery·M D StringerR J Brereton
Aug 7, 1998·Journal of Pediatric Surgery·A M SiddiquiC W Lillehei
Jul 11, 2002·Surgery Today·Atsushi MuraokaKoichi Mizobuchi
Feb 22, 2005·Pediatric Surgery International·T R Sai Prasad, C E Tan

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Citations

Dec 25, 2013·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Alexander S ChiuJeffrey B Matthews
Jul 19, 2011·Journal of Pediatric Surgery·Anthony C ChinMarleta Reynolds
Jan 8, 2019·World Journal of Clinical Cases·Michael RousekMiroslav Ryska

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