Сongenital cystic duplication of the stomach in a child of 2 months

Abstract

Introduction. Duplication of the organs in gastrointestinal tract (GIT) is a rather rare pathology. By literature data, the incidence of this pathology is 1/4500 newborns. Currently, there are several theories explaining the development of GIT organ duplication, but there is no a single one explaining the genesis of all known variants of duplication .Material and methods. A clinical case of a 2-month-old child with congenital cystic gastric duplication is presented. The authors describe specifc features of surgical intervention, diffculties which they faced during diagnostics.Results. A physicians’ council outlined indications for surgical intervention (laparoscopically assisted resection) in the volume depending on the formation which had to be determined intraoperatively. Cystic gastric duplication was diagnosed only intraoperatively. After the surgery, the child was in ICU for 2 days. On day 5, stitches were removed. The patient recovered well and was discharged home on the 6th postoperative day.Conclusion. The presented clinical case is interesting not only because this pathology is rare, but because of an important observation that despite a thorough and informative examination of the patient, exact diagnosis was made only intraoperatively.