Gastric Duplication: A Rare Cause of Recurrent Vomiting

Vomiting is a physical finding that can occur at any age but presents the greatest challenge when it is recurrent in a child. The etiology is varied (Sieunarine and Manmohansingh, 1989; Suzuki, 1982), and recurrent vomiting can be a symptom of life threatening medical or surgical emergencies. Early...

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Main Authors: Brahmananda Koduri, Katie McHale, Christina Yost, Michael H. Goodman, Dennis Hoelzer
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Pediatrics
Online Access:http://dx.doi.org/10.1155/2017/2348274
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author Brahmananda Koduri
Katie McHale
Christina Yost
Michael H. Goodman
Dennis Hoelzer
author_facet Brahmananda Koduri
Katie McHale
Christina Yost
Michael H. Goodman
Dennis Hoelzer
author_sort Brahmananda Koduri
collection DOAJ
description Vomiting is a physical finding that can occur at any age but presents the greatest challenge when it is recurrent in a child. The etiology is varied (Sieunarine and Manmohansingh, 1989; Suzuki, 1982), and recurrent vomiting can be a symptom of life threatening medical or surgical emergencies. Early recognition is mandatory for preventing delay in management and potential complications. Gastric duplication is rare and mostly diagnosed in infancy with only a few cases documented in the medical literature presenting in childhood. We present a three-year-old Vietnamese female with recurrent vomiting. Obstruction and sepsis were ruled out as a cause of the recurrent vomiting by history and appropriate tests. Persistent vomiting and paucity of air on the plain abdominal films provided a clue to the diagnosis. A CT scan of the abdomen with contrast revealed a uniformly thin walled fluid attenuation mass in the epigastric region which did not opacify with contrast. An abdominal ultrasound confirmed gastric duplication cyst and the patient was taken to the operating room for excision of the cyst.
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publishDate 2017-01-01
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series Case Reports in Pediatrics
spelling doaj-art-b44d01fc65e349009aaff7a136a64f572025-02-03T00:59:38ZengWileyCase Reports in Pediatrics2090-68032090-68112017-01-01201710.1155/2017/23482742348274Gastric Duplication: A Rare Cause of Recurrent VomitingBrahmananda Koduri0Katie McHale1Christina Yost2Michael H. Goodman3Dennis Hoelzer4Department of Pediatrics, The Children’s Regional Hospital, Cooper Hospital-University Medical Center, Camden, NJ 08103, USADepartment of Pediatrics, The Children’s Regional Hospital, Cooper Hospital-University Medical Center, Camden, NJ 08103, USADepartment of Pediatrics, The Children’s Regional Hospital, Cooper Hospital-University Medical Center, Camden, NJ 08103, USADepartment of Pediatrics, The Children’s Regional Hospital, Cooper Hospital-University Medical Center, Camden, NJ 08103, USADepartment of Pediatrics, The Children’s Regional Hospital, Cooper Hospital-University Medical Center, Camden, NJ 08103, USAVomiting is a physical finding that can occur at any age but presents the greatest challenge when it is recurrent in a child. The etiology is varied (Sieunarine and Manmohansingh, 1989; Suzuki, 1982), and recurrent vomiting can be a symptom of life threatening medical or surgical emergencies. Early recognition is mandatory for preventing delay in management and potential complications. Gastric duplication is rare and mostly diagnosed in infancy with only a few cases documented in the medical literature presenting in childhood. We present a three-year-old Vietnamese female with recurrent vomiting. Obstruction and sepsis were ruled out as a cause of the recurrent vomiting by history and appropriate tests. Persistent vomiting and paucity of air on the plain abdominal films provided a clue to the diagnosis. A CT scan of the abdomen with contrast revealed a uniformly thin walled fluid attenuation mass in the epigastric region which did not opacify with contrast. An abdominal ultrasound confirmed gastric duplication cyst and the patient was taken to the operating room for excision of the cyst.http://dx.doi.org/10.1155/2017/2348274
spellingShingle Brahmananda Koduri
Katie McHale
Christina Yost
Michael H. Goodman
Dennis Hoelzer
Gastric Duplication: A Rare Cause of Recurrent Vomiting
Case Reports in Pediatrics
title Gastric Duplication: A Rare Cause of Recurrent Vomiting
title_full Gastric Duplication: A Rare Cause of Recurrent Vomiting
title_fullStr Gastric Duplication: A Rare Cause of Recurrent Vomiting
title_full_unstemmed Gastric Duplication: A Rare Cause of Recurrent Vomiting
title_short Gastric Duplication: A Rare Cause of Recurrent Vomiting
title_sort gastric duplication a rare cause of recurrent vomiting
url http://dx.doi.org/10.1155/2017/2348274
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AT michaelhgoodman gastricduplicationararecauseofrecurrentvomiting
AT dennishoelzer gastricduplicationararecauseofrecurrentvomiting