Intraluminal pyloric duplication cyst- a rare cause of non-bilious vomiting in a neonate: A case report

Authors

  • Ravi Patcharu Army Hospital( Research & Referral), New Delhi
  • Jaiprakash Yadav Army Hospital (Research & Referral), New Delhi 110010, India
  • Karunesh Chand Army Hospital (Research & Referral), New Delhi 110010, India
  • Badal Parikh Army Hospital (Research & Referral), New Delhi 110010, India

DOI:

https://doi.org/10.47338/jns.v10.1006

Keywords:

Duplication cyst,, Non-bilious vomiting, Neonate, Intraluminal pyloric duplication cyst, Neonatal gastric outlet obstruction

Abstract

Background: Duplications of the alimentary tract are rare congenital malformations, out of which, true pyloric duplications constitute only 2.2%. They present with non-bilious vomiting and mimic hypertrophic pyloric stenosis (HPS). Pyloric duplications that are intraluminal are not separately visible at laparotomy, making their diagnosis difficult. 

Case presentation: Our case is a neonate with an intraluminal pyloric duplication cyst who presented with recurrent vomiting. The radiological evaluation suggested a duplication cyst medial to the second part of the duodenum towards the stomach’s lesser curvature with features of gastric outlet obstruction. Intraoperatively, a cystic mass of 1 x 2 cm intraluminally was found on opening the pylorus which was excised and pyloroplasty was done. Postoperatively the baby was discharged in a stable condition.

Conclusion: Intraluminal pyloric duplication cysts are rare and the clinical presentation mimics HPS. They should be considered as a differential diagnosis in a neonate presenting with features of gastric outlet obstruction.

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Author Biographies

Ravi Patcharu, Army Hospital( Research & Referral), New Delhi

Dept of Pediatric Surgery, Command Hospital (Air Force), Bengaluru, Karnataka- 560007, India

Jaiprakash Yadav, Army Hospital (Research & Referral), New Delhi 110010, India

Dept of General Surgery

Karunesh Chand, Army Hospital (Research & Referral), New Delhi 110010, India

Dept of Pediatric Surgery

Badal Parikh, Army Hospital (Research & Referral), New Delhi 110010, India

Dept of Anesthesiology & Critical Care

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Published

2021-09-23

How to Cite

1.
Patcharu R, Yadav J, Chand K, Parikh B. Intraluminal pyloric duplication cyst- a rare cause of non-bilious vomiting in a neonate: A case report. J Neonatal Surg [Internet]. 2021Sep.23 [cited 2021Oct.19];10:44. Available from: https://www.jneonatalsurg.com/ojs/index.php/jns/article/view/1006