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Unusual case of massive hemorrhage of a gastric duplication cyst in a very advanced age

  • Case Management and Clinical Consequences
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Abstract

Purpose

The objective of this study was to report an unusual case of gastric duplication in an 82-year-old female patient.

Materials and methods

The patient was treated immediately by Billroth I partial gastrectomy due to massive hematemesis. The surgical specimen was histopathologically examined.

Results

The histopathologic report confirmed the operative diagnosis of a gastric duplication cyst. Gastric duplication cysts are rare congenital abnormalities occurring mainly in the pediatric population and rarely in adults. They account for 2% to 7% of all gastrointestinal duplications, having a male to female ratio of 2:1 (Agha et al., AJR Am J Roentgenol 137:406–407, 1981; Macpherson, Radiographics 13:1063–1080, 1993).

Conclusions

Gastric duplication cysts present with a variety of symptoms and complications including hematemesis. The massive upper gastrointestinal hemorrhage in our octogenarian patient indicates that there is no age limit in clinical manifestations of this rather common in the pediatric population, congenital malformation of the stomach.

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Authors and Affiliations

  1. 2nd Surgical Department, Evangelismos Hospital, Athens, Greece

    Serafeim Klimopoulos, Dimitrios Gialvalis, Meletios Marougas, Dionysios Zotos, Nikolaos Orfanos & Antonios Roussakis

  2. Histopathology Department, Evangelismos Hospital, Athens, Greece

    Pinelopi Argyriou & Catherine Pantelidaki

  3. 9 Olympou St, 15234, Athens, Greece

    Nikolaos Orfanos

Authors
  1. Serafeim Klimopoulos
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  2. Dimitrios Gialvalis
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  3. Meletios Marougas
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  4. Dionysios Zotos
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  5. Nikolaos Orfanos
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  6. Antonios Roussakis
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  7. Pinelopi Argyriou
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  8. Catherine Pantelidaki
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Corresponding author

Correspondence to Nikolaos Orfanos.

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Klimopoulos, S., Gialvalis, D., Marougas, M. et al. Unusual case of massive hemorrhage of a gastric duplication cyst in a very advanced age. Langenbecks Arch Surg 394, 745–747 (2009). https://doi.org/10.1007/s00423-008-0363-x

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  • DOI: https://doi.org/10.1007/s00423-008-0363-x

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