All issues > Volume 39(11); 1996

Case Report

J Korean Pediatr Soc. 1996;39(11):1631-1635. Published online November 15, 1996.

Gastric Duplication in the Newborn

Seong Jin SJ Hong³, Kyo Sun KS Kim³, Hee Won HW Ham², Jeong Hee JH 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

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.

Keywords :Gastric duplication, Newborn, Gastric outlet obstruction