Volume 6, Issue 4, December 2020, Page: 455-458
Pyloric Duplication in Ten Years Old Girl: A Case Report
Ni Made Reditya Noviyani, Department of Child Health, Faculty of Medicine, Udayana University/Sanglah Hospital, Denpasar, Indonesia
Ni Nyoman Metriani Nesa, Department of Child Health, Faculty of Medicine, Udayana University/Sanglah Hospital, Denpasar, Indonesia
I Gusti Ngurah Sanjaya Putra, Department of Child Health, Faculty of Medicine, Udayana University/Sanglah Hospital, Denpasar, Indonesia
I Putu Gede Karyana, Department of Child Health, Faculty of Medicine, Udayana University/Sanglah Hospital, Denpasar, Indonesia
Kadek Deddy Ariyanta, Department of Surgery, Faculty of Medicine, Udayana University/Sanglah Hospital, Denpasar, Indonesia
I Made Darmajaya, Department of Surgery, Faculty of Medicine, Udayana University/Sanglah Hospital, Denpasar, Indonesia
Pande Putu Yuli Anandasari, Department of Radiology, Faculty of Medicine, Udayana University/Sanglah Hospital, Denpasar, Indonesia
Ni Wayan Winarti, Department of Anatomical Pathology, Faculty of Medicine, Udayana University/Sanglah Hospital, Denpasar, Indonesia
Received: Oct. 10, 2020;       Accepted: Oct. 26, 2020;       Published: Nov. 9, 2020
DOI: 10.11648/j.ajp.20200604.21      View  28      Downloads  6
Abstract
Gastrointestinal duplication cysts are rare congenital anomalies. Pyloric duplication represents 2.2% of all gastrointestinal tract duplications. The presentations merely depend on the site of occurrence, size and type of the cyst, and presence of ectopic mucosal lining. A ten years old girl vomited for two months, accompanied with stomach ache and difficulty in defecation. The color of stool sometimes was black. The body weight decreased twelve kilograms in two months. On physical examination, no abdominal distention and no palpable mass was found, bowel sound was decreased and there was tenderness in epigastric area. Nutritional status of patient was severe malnutrition. Laboratory test revealed mild hypochromic microcytic anemia, severe hyponatremia, severe hypokalemia, and hypoalbuminemia. Abdominal ultrasound revealed thickening of the gastric wall and upper gastrointestinal contrast study revealed partial stenosis with thickening of pyloric wall. Esophagogastroduodenoscopy revealed multiple gastric ulcers and gastric outlet obstruction. Cyst duplication and stricture in the pylorus were found during surgical procedure. The pediatric surgeon performed an excision of duplication cyst and gastroduodenostomy side to side anastomosis. Histopathologic examination from cyst confirmed the enteric duplication cyst. The patient was discharged in good condition. We concluded that pyloric duplication is considered as one of the differential diagnosis in children with symptoms of gastric outlet obstruction. Appropriate surgical procedures should be undertaken to avoid complications.
Keywords
Pediatric, Gastrointestinal Duplication Cyst, Pylorus
To cite this article
Ni Made Reditya Noviyani, Ni Nyoman Metriani Nesa, I Gusti Ngurah Sanjaya Putra, I Putu Gede Karyana, Kadek Deddy Ariyanta, I Made Darmajaya, Pande Putu Yuli Anandasari, Ni Wayan Winarti, Pyloric Duplication in Ten Years Old Girl: A Case Report, American Journal of Pediatrics. Vol. 6, No. 4, 2020, pp. 455-458. doi: 10.11648/j.ajp.20200604.21
Copyright
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Reference
[1]
Sharma S, Yadav AK, Mandal AK, Zaheer S, Yadav DK, Samie A. Enteric duplication cysts in children: a clinicopathological dilemma. JCDR. 2015; 9: 8-11.
[2]
Cavar S, Bogovic M, Leutic T, Antabak A, Batinica S. Intestinal duplications - experience in 6 cases. Eur Surg Res. 2006; 38: 329-32.
[3]
Murty TV, Bhargava RK, Rakas FS. Gastroduodenal duplications. J Pediatr Surg. 1992; 27: 515-7.
[4]
Tanaka H, Masumoto K, Sasaki T, Sakamoto N, Gotoh C, Urita Y, et al. Hypergastrinemia and a duodenal ulcer caused by gastric duplication. Surg Case Rep. 2016; 2: 75.
[5]
Cunningham S, Hansel D, Fishman E, Cameron J. Foregut duplication cyst of the stomach. J Gastrointest Surg. 2006; 10: 620-1.
[6]
Olajide ARL, Yisau AA, Abdulraseed NA, Kashim IOO, Olaniyi AJ, Morohunfade AOA. Gastrointestinal duplications: experience in seven children and a review of the literature. Saudi J Gastroenterol. 2010; 16 (2): 105-9.
[7]
Srikanth KP, Thapa BR, Lal SB, Menon P, Sodhi K, Vaiphei K, et al. Noncommunicating gastric antral duplication cyst presenting with hematemesis due to large antral ulcer. Trop Gastroenterol. 2015; 36: 134-6.
[8]
Surridge CA, Goodier MD. Gastric duplication cyst: a cause of rectal bleeding in a young child. Afr J Paediatr Surg. 2014; 11: 267-8.
[9]
Liu R, Adler DG. Duplication cysts: diagnosis, management, and role of endoscopic ultrasound. Eusjournal. 2014; 3: 152-8.
[10]
Mayer JP, Bettoli M. Alimentary tract duplications in newborns and children: diagnostic aspects and the role of laparoscopic treatment. World J Gastroenterol. 2014; 20: 14263-71.
[11]
Marginean CO, Marginean C, Horvath E, Gozar L, Gozar HG. Antenatally diagnosed congenital pyloric duplication associated with intraluminal pyloric cyst - rare entity case report and review of the literature. Rom J Morphol Embryol. 2014; 55 (3): 983-8.
[12]
Saad DF, Gow KW, Shehata B, Wulkan ML. Pyloric duplication in a term newborn. J Pediatr Surg. 2005; 40 (7): 1209-10.
[13]
Shah A, More B, Buick R. Pyloric duplication in a neonate: a rare entity. Pediatr Surg Int. 2005; 21 (3): 220-2.
[14]
Ahmed YB, Ghorbel S, Charieg A, Nouira F, Khemekhem R, Jlidi S, et al. Pyloric duplication: about two cases. Pediatr Neonatal Care J. 2015; 2 (2): 00065.
[15]
Ladd WE. Duplications of the alimentary tract. South Med J. 1937; 30: 363-71.
[16]
Rasool N, Safdar CA, Ahmad A, Kanwal S. Enteric duplication in children: clinical presentation and outcome. Singapore Med J. 2013; 54: 343-6.
[17]
Jehangir S, Ninan PJ, Jacob TJ, Eapen A, Mathai J, Thomas RJ, et al. Enteric duplication in children: experience from a tertiary center in South India. J Indian Assoc Pediatr Surg. 2015; 20: 174-8.
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