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Gastric Duplication in the Newborn

Journal of the Korean Pediatric Society 1996;39(11):1631-1635.
Published online November 15, 1996.
Gastric Duplication in the Newborn
Seong Jin Hong3, Kyo Sun Kim3, Hee Won Ham2, Jeong Hee Park1
1Departments of Radiology, College of Medicine, Konkuk University, Seoul, Korea
2Departments of General Surgery, College of Medicine, Konkuk University, Seoul, Korea
3Departments of Pediatrics, College of Medicine, Konkuk University, Seoul, Korea
신생아 위중복증(Gastricduplication) 1례
홍성진3, 김교순3, 함희원2, 박정희1
1건국대학교 의과대학 방사선과학교실
2건국대학교 의과대학 외과학교실
3건국대학교 의과대학 소아과학교실
Abstract
Duplications of the stomach account for only 3.8% of gastrointestinal duplication, mainly discovered during first year of life. Etiopathogenesis is unknown. The most widely accepted theory is recannalization with fusion of longitudinal epithelial fold. The most frequent presented symptoms and signs include gastric outlet obstruction with vomiting, and palpable mass in the epigatric area. An upper gatrointestinal series usually reveals evidence of extrinsic mass effect of intramural lesion. An abdominal ultrasonographic finding is cystic mass lesion with double layer. Histologically, the wall of intramural cyst is composed of orderly layers of alimentary mucosa, submucosa, and muscle fibers. Recommended management is complete excision & simple closure of duplication without violation of the gastric lumen. In this case, 3-day old male newborn suffered from symptoms of gastric outlet obstruction, multiple gastric duplication cysts were found in pyloric canal and greater curvature. The cystic wall was composed with typical 3 layers of gastric mucosa, submucosa, and muscle fibers. The cystic wall was composed with typical 3 layers of gastric mucosa, submucosa, and muscle fibers. Surgical excision was successfully done.
Key Words: Gastric duplication, Newborn, Gastric outlet obstruction


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