Gastric Duplication Managed with Mucosectomy and Gastric Repair: A Rare Case Report

Filza RA Aslam; Ibrahim  Ismar; Tubagus OR Wahid; Andrea Valentino; Salamullah Salamullah; Viona Sabrina

doi:10.28932/jmh.v7i2.11079

Authors

Filza RA Aslam Surgical Resident of Medical Faculty, Arifin Achmad General Hospital, Faculty of Medicine, Riau University
Ibrahim Ismar Pediatric Surgeon, Surgery Department, Arifin Achmad General Hospital, Faculty of Medicine, Riau University
Tubagus OR Wahid Pediatric Surgeon, Surgery Department, Arifin Achmad General Hospital, Faculty of Medicine, Riau University
Andrea Valentino Neurosurgery Surgeon, Surgery Department, Arifin Achmad General Hospital, Faculty of Medicine, Riau University
Salamullah Salamullah Medical Student of Medical Faculty, Arifin Achmad General Hospital, Faculty of Medicine, Riau University
Viona Sabrina Medical Student of Medical Faculty, Arifin Achmad General Hospital, Faculty of Medicine, Riau University

DOI:

https://doi.org/10.28932/jmh.v7i2.11079

Keywords:

gastric duplications, gastrointestinal tract duplications, mucosectomy, pediatric surgery, congenital anomaly

Abstract

This case report aims to present the clinical presentation, diagnostic workup, surgical management, and outcome of a rare case of gastric duplication in an infant. Gastrointestinal duplication (GD) is a rare congenital anomaly accounting for 4–8% of all duplication cases, predominantly occurring in children. An 8-month-old female presented with a progressively enlarging abdominal mass, vomiting, and distension. Initial ultrasound months earlier showed a mass near the umbilicus, but the family pursued alternative treatments. Examination revealed a well-defined, rubbery cystic mass (8 × 5 cm). Sonography showed a septated cystic lesion, and a barium study demonstrated a filling defect. The patient underwent exploratory surgery with mucosectomy and gastric repair. Postoperatively, she received intravenous fluids, antibiotics, analgesics, and proton pump inhibitors. Despite transient vomiting and distension, by day seven, she gained weight and was discharged. Histopathology confirmed a benign gastric duplication cyst. At 11-day follow-up, she was thriving and feeding well. This case underscores the importance of early diagnosis and surgical intervention in GD to prevent complications and highlights favorable outcomes with timely management.

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