Abstract
Enteric duplication cysts are rare congenital malformations with a low incidence and there are only a few reports in the literature. Their clinical presentation varies according to the location and the type of duplication. Their overall prognosis is good if early surgical intervention is provided. We report a 2-month-old boy who presented with a case of a giant gastroduodenal duplication cyst with a juxta-pancreatic communication and was successfully treated surgically. It is imperative to be aware of this rare congenital malformation that can present clinically with a wide range of non-specific symptoms that can cause significant morbidity and mortality if the treatment is delayed.
Highlights
Gastrointestinal tract duplications or enteric duplication cysts are rare congenital malformations formed during the embryonic development of the digestive system with an incidence of 1:4,500 births
We are presenting a case of a giant gastroduodenal duplication cyst with a juxta-pancreatic communication, a rare intraoperative finding that was successfully treated surgically
Most enteric duplications become symptomatic as a result of the obstruction of the gastrointestinal tract by external pressure, distention of the cystic mass, or bleeding.[2]
Summary
Gastrointestinal tract duplications or enteric duplication cysts are rare congenital malformations formed during the embryonic development of the digestive system with an incidence of 1:4,500 births. The patient had a history of suspected duodenal atresia by antenatal ultrasounds (double bubble sign found) This congenital malformation was ruled out postnatally after a normal upper gastrointestinal (GI) series test and in the absence of vomiting or gastric aspirates in the neonatal period. The mass was adherent to the greater curvature of the stomach, sharing the serosa and muscular layers. The mass was disconnected from the greater curvature without compromise of the muscular and the mucosa layer of the stomach.
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