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Duplication Cyst of the Pylorus in a Newborn

Journal of the Korean Pediatric Society 2001;44(9):1052-1056.
Published online September 15, 2001.
Duplication Cyst of the Pylorus in a Newborn
Seon Ja Cho1, Kang Ho Lee1, Myoung Jin Ju2, Oh Kyung Lee1
1Department of Pediatrics, Presbyterian Medical Center, Chonju, Korea
2Department of Anatomical Pathology, Presbyterian Medical Center, Chonju, Korea
신생아의 유문부 중복성 낭종 1례
조선자1, 이강호1, 주명진2, 이오경1
1전주예수병원 소아과
2전주예수병원 해부병리과
Abstract
Enteric duplications are uncommon congenital anomalies. Duplications of the stomach account for only 3.8% of gastrointestinal duplication. More particularly, duplications involving the pylorus are extremely rare. These are characterized by firm attachment to at least one point of the alimentary tract with a well developed coat of smooth muscle and mucous membrane. The most frequent presentation is an abdominal mass with vomiting, mainly discovered during the first year of life. We experienced a 24-day-old boy with non-bilous, non-projectile vomiting and palpable abdominal mass, clinically similar to hypertrophic pyloric stenosis. He was diagnosed as having gastropyloric duplication cyst by abdominal ultrasonography, upper gastrointestinal series and abdominal computerized tomography. Thus we report a newborn infant with gastric outlet obstruction secondary to a duplication of the pylorus which is a rare cause of gastric obstruction.
Key Words: Gastric duplication, Gastric outlet obstruction


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