Sudan Journal of Medical Sciences

ISSN: 1858-5051

High-impact research on the latest developments in medicine and healthcare across MENA and Africa

The Confusing Tale of Foreign Body Gastric Outlet Obstruction

Published date: Mar 31 2023

Journal Title: Sudan Journal of Medical Sciences

Issue title: Sudan JMS: Volume 18 (2023), Issue No. 1

Pages: 97–103

DOI: 10.18502/sjms.v18i1.12869

Authors:

Nader Mutwakel Osman nader_osman@hotmail.comPediatric and Child Health Department , Omdurman Islamic University, Sudan

Abstract:

Background: Duplication cysts are rare congenital anomalies that can occur anywhere in the gastrointestinal tract from the mouth up to the anus. Acquired gastric outlet obstruction (GOO) during infancy beyond the neonatal period is a very rare condition and should be considered when other causes of GOO such as infantile hypertrophic pyloric stenosis, antral diaphragm, and pyloric atresia are excluded.
Case Presentation: We report a one-year old female infant who presented with an acute onset of copious persistent vomiting that was initially diagnosed with a duplication cyst of the duodenum, but was found to have GOO after surgical exploration.
Conclusion: Clinicians should be mindful of the common causes of GOO and have a high index of suspicion for acquired causes.

Keywords: duplication cyst, gastric outlet, acquired obstruction

References:

[1] Jadlowiec, C. C., Lobel, B. E., Akolkar, N., Bourque, M. D., Devers, T. J., & McFadden, D. W. (2015). Presentation and Surgical Management of Duodenal Duplication in Adults. Case Reports in Surgery, 2015, 659150.

[2] Liu, R., & Adler, D. G. (2014). Duplication cysts: Diagnosis, management, and the role of endoscopic ultrasound. Endoscopic Ultrasound, 3(3), 152–160.

[3] Feng, J., Gu, W., Li, M., Yuan, J., Wei, M., & Zhou, X. (2005). Rare cases of gastric outlet obstruction in children. Pediatric Surgery International, 21(8), 635–640.

[4] Ormarsson, O. T., Haugen, S. E., & Juul, I. (2003). Gastric outlet obstruction caused by heterotopic pancreas. European Journal of Pediatric Surgery, 13(6), 410–413.

[5] Sharma, K. K., Agrawal, P., & Toshiniwal, H. (1997). Acquired gastric outlet obstruction during infancy & childhood: A report of five unusual cases. Journal of Pediatric Surgery, 32(6), 928–930 .

[6] Bronstein, A. C., Spyker, D. A., Cantilena, L. R., Jr., Green, J. L., Rumack, B. H., & Heard, S. E., American Association of Poison Control Centers. (2008). 2007 Annual Report of the American Association of Poison Control Centers' National Poison Data System (NPDS): 25th Annual Report. Clinical Toxicology, 46(10), 927–1057 .

[7] Alexander, W., Kadish, J. A., & Dunbar, J. S. (1969). Ingested foreign bodies in children. In H. J. Kaufmann HJ (Ed.) Progress in Pediatric Radiology (pp. 256–285). 2nd Ed. Chicago: Yearbook Medical Publishers.

[8] Balci, A. E., Eren, S., & Eren, M. N. (2004). Esophageal foreign bodies under cricopharyngeal level in children: An analysis of 1116 cases. Interdisciplinary CardioVascular and Thoracic Surgery, 3(1), 14–18.

[9] Watanabe, K., Kikuchi, T., Katori, Y., Fujiwara, H., Sugita, R., Takasaka, T., Hashimoto, S. (1998). The usefulness of computed tomography in the diagnosis of impacted fish bones in the oesophagus. Journal of Laryngology & Otology, 112(4), 360–364.

[10] Tsamg, T. M., Saing, H., & Yeung, C. K. (1990). Peptic ulcer in children. Journal of Pediatric Surgery, 25, 744–748.

[11] Azarow, K., Kim, P., Shandling, B., Ein, S. (1996). A 45-year experience with surgical treatment of peptic ulcer disease in children. Journal of Pediatric Surgery, 31(6), 750–753.

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