Synchronous gut duplication cysts : A rare presentation

Abstract

Duplications of alimentary tract are rare congenital anomalies and multiple duplications occur in a fraction of these cases [1]. Their presentation is diverse and they pose a diagnostic and therapeutic challenge [2]. Majority occur in the small intestine and present in the first year of life [1]. Thoracic duplications usually present with recurrent respiratory tract symptoms or these are detected incidentally on chest radiographs. Pyloric and duodenal duplications present with recurrent vomiting and failure to thrive [1]. The small intestine duplication presents with abdominal mass, intestinal obstruction or gastrointestinal bleeding [1]. The duplication cysts contain gastric mucosa in 50% of cases resulting in ulceration, hemoptysis or hematemesis from perforation [3, 4]. The exact site of bleeding is difficult to determine in neonates. We report an unusual presentation of synchronous gastrointestinal duplication.