Mahnovski V, Mahour G H, Rowland J M
Division of Anatomic Pathology, Childrens Hospital Los Angeles, CA 90027, USA.
J Pediatr Surg. 1998 Dec;33(12):1815-6. doi: 10.1016/s0022-3468(98)90293-7.
An 11-month-old girl had massive rectal bleeding. A midabdominal mass was palpated. Ultrasound scan showed a large cystic mass with diffusely echogenic contents; Tc-99M radionuclide scan confirmed a duplication. Exploratory surgery and pathology examination showed a gastric duplication with formation of a fistula into the transverse colon with a colonic ulcer and hemorrhage. This combination of findings is presented as a rare cause of lower gastrointestinal hemorrhage in infancy.