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Case Reports in Pediatrics
Volume 2017, Article ID 2348274, 4 pages
https://doi.org/10.1155/2017/2348274
Case Report

Gastric Duplication: A Rare Cause of Recurrent Vomiting

Department of Pediatrics, The Children’s Regional Hospital, Cooper Hospital-University Medical Center, Camden, NJ 08103, USA

Correspondence should be addressed to Katie McHale; moc.liamg@115elahcm.eitak

Received 7 July 2016; Revised 22 December 2016; Accepted 9 January 2017; Published 1 March 2017

Academic Editor: Elzbieta Czkwianianc

Copyright © 2017 Brahmananda Koduri et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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.