Abstract

BackgroundAlimentary tract duplications are rare anomalies and any delay in the diagnosis may develop various complications. Infection, hemorrhage, or perforation of the duplication cyst may lead to an acute presentation. Occasionally, it may lead to a diagnostic and management dilemma. Herein, we report an unusual complication of gastric duplication cyst.Case presentationA 2.5-year-old girl presented with recurrent abdominal distension, fever, and abdominal pain. The imaging workup revealed a huge intraperitoneal collection. Intraoperatively, a huge pseudocyst was encountered communicating with the gastric duplication cyst. The gastric duplication cyst was sharing a common wall with the greater curvature of the stomach but was not communicating with the gastric lumen. Pseudocyst along with gastric duplication cyst was completely excised. The resultant seromuscular defect of the stomach was also closed. The postoperative period was uneventful.ConclusionPerforation of the gastric duplication cyst should be kept in differentials of intraperitoneal collection not amenable to multiple aspirations. Huge intraperitoneal collection secondary to perforation of gastric duplication is exceedingly rare and scarcely reported in the literature.

Highlights

  • Alimentary tract duplications are rare anomalies and any delay in the diagnosis may develop various complications

  • Perforation of the gastric duplication cyst should be kept in differentials of intraperitoneal collection not amenable to multiple aspirations

  • Gastric duplications cyst accounts for 4–7% of alimentary tract duplications

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Summary

Conclusion

Complications in gastric duplication cyst may lead to misdiagnosis and maltreatment. Careful reporting of imaging investigations is required to identify these lesions as they can masquerade the actual pathology leading to diagnostic and management issues. Abbreviations CT scan: Computerized tomography scan; CBC: Complete blood count; R/ R: Respiratory rate; BP: Blood pressure; GIT: Gastrointestinal tract

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