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.
| Published in | American Journal of Pediatrics (Volume 6, Issue 4) |
| DOI | 10.11648/j.ajp.20200604.21 |
| Page(s) | 455-458 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2020. Published by Science Publishing Group |
Pediatric, Gastrointestinal Duplication Cyst, Pylorus
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APA Style
Ni Made Reditya Noviyani, Ni Nyoman Metriani Nesa, I Gusti Ngurah Sanjaya Putra, I Putu Gede Karyana, Kadek Deddy Ariyanta, et al. (2020). Pyloric Duplication in Ten Years Old Girl: A Case Report. American Journal of Pediatrics, 6(4), 455-458. https://doi.org/10.11648/j.ajp.20200604.21
ACS Style
Ni Made Reditya Noviyani; Ni Nyoman Metriani Nesa; I Gusti Ngurah Sanjaya Putra; I Putu Gede Karyana; Kadek Deddy Ariyanta, et al. Pyloric Duplication in Ten Years Old Girl: A Case Report. Am. J. Pediatr. 2020, 6(4), 455-458. doi: 10.11648/j.ajp.20200604.21
AMA Style
Ni Made Reditya Noviyani, Ni Nyoman Metriani Nesa, I Gusti Ngurah Sanjaya Putra, I Putu Gede Karyana, Kadek Deddy Ariyanta, et al. Pyloric Duplication in Ten Years Old Girl: A Case Report. Am J Pediatr. 2020;6(4):455-458. doi: 10.11648/j.ajp.20200604.21
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author = {Ni Made Reditya Noviyani and Ni Nyoman Metriani Nesa and I Gusti Ngurah Sanjaya Putra and I Putu Gede Karyana and Kadek Deddy Ariyanta and I Made Darmajaya and Pande Putu Yuli Anandasari and Ni Wayan Winarti},
title = {Pyloric Duplication in Ten Years Old Girl: A Case Report},
journal = {American Journal of Pediatrics},
volume = {6},
number = {4},
pages = {455-458},
doi = {10.11648/j.ajp.20200604.21},
url = {https://doi.org/10.11648/j.ajp.20200604.21},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20200604.21},
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.},
year = {2020}
}
TY - JOUR T1 - Pyloric Duplication in Ten Years Old Girl: A Case Report AU - Ni Made Reditya Noviyani AU - Ni Nyoman Metriani Nesa AU - I Gusti Ngurah Sanjaya Putra AU - I Putu Gede Karyana AU - Kadek Deddy Ariyanta AU - I Made Darmajaya AU - Pande Putu Yuli Anandasari AU - Ni Wayan Winarti Y1 - 2020/11/09 PY - 2020 N1 - https://doi.org/10.11648/j.ajp.20200604.21 DO - 10.11648/j.ajp.20200604.21 T2 - American Journal of Pediatrics JF - American Journal of Pediatrics JO - American Journal of Pediatrics SP - 455 EP - 458 PB - Science Publishing Group SN - 2472-0909 UR - https://doi.org/10.11648/j.ajp.20200604.21 AB - 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. VL - 6 IS - 4 ER -
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