Kayastha Kanchan, Sheikh Afzal
Department of Pediatric Surgery, The Children's Hospital and the Institute of Child Health Lahore, Pakistan.
APSP J Case Rep. 2010 Jan;1(1):6. Epub 2010 Aug 14.
Gastric duplication cysts are rare variety of gastrointestinal duplications. Sometimes they may present with complications like hemorrhage, infection, perforation, volvulus, intussusception and rarely neoplastic changes in the gastric duplication cyst. We present one and half year old male child who developed sudden abdominal distension with pain and fever for two days. Ultrasound revealed a cystic mass in the hypochondrium and epigastric regions. On exploration an infected and perforated gastric duplication cyst was found. Surgical excision of most part of cyst wall with mucosal stripping of the rest was performed. Histopathology confirmed the diagnosis of gastric duplication cyst. Early surgical intervention can result in good outcome.
胃重复囊肿是胃肠道重复畸形中罕见的一种。有时它们可能会出现诸如出血、感染、穿孔、扭转、肠套叠等并发症，胃重复囊肿发生肿瘤性改变则较为罕见。我们报告一名1岁半男童，他突发腹胀伴疼痛和发热2天。超声检查显示季肋部和上腹部区域有一个囊性肿块。术中发现一个感染并穿孔的胃重复囊肿。手术切除了大部分囊肿壁，其余部分进行黏膜剥除。组织病理学确诊为胃重复囊肿。早期手术干预可取得良好疗效。
