Gastric Duplication: A Rare Cause of Recurrent Vomiting

Table 1

Differential diagnosis of emesis during childhood.

Infant	Child	Adolescent
Common
Gastroenteritis	Gastroenteritis	Gastroenteritis
Gastroesophageal reflux	Systemic infection	GERD
Overfeeding	Gastritis	Systemic infection
Anatomic obstruction	Toxic ingestion	Toxic ingestion
Systemic infection	Pertussis syndrome	Gastritis
Pertussis syndrome	Medication	Sinusitis
Otitis media	Reflux (GERD)	Inflammatory bowel disease
	Sinusitis	Appendicitis
	Otitis media	Migraine
		Pregnancy
		Medication
		Ipecac abuse/bulimia
Rare
Adrenogenital syndrome	Reye’s syndrome	Reye’s syndrome
Inborn error of metabolism	Hepatitis	Hepatitis
Brain tumor (increased intracranial pressure)	Peptic ulcer	Peptic ulcer
	Pancreatitis	Pancreatitis
Subdural hemorrhage	Brain tumor	Brain tumor
Food poisoning	Increased intracranial pressure	Increased intracranial pressure
Rumination	Middle ear disease	Middle ear disease
Renal tubular acidosis	Chemotherapy	Chemotherapy
	Achalasia	Cyclic vomiting (migraine)
	Cyclic vomiting (migraine)	Biliary colic
	Esophageal stricture	Renal colic
	Duodenal hematoma
	Inborn error of metabolism