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Published in: Journal of Medical Case Reports 1/2015

Open Access 01-12-2015 | Case report

Ultrasonographic diagnosis of congenital membranous jejunal stenosis and gastric duplication cyst in a newborn: a case report

Authors: Liu Qinghua, Wu Shoucai, Liu Xiaofang, Zhang Xincun, Miao Lili

Published in: Journal of Medical Case Reports | Issue 1/2015

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Abstract

Introduction

Congenital jejunal stenosis and gastric duplication cysts are very rare congenital anomalies of the gastrointestinal tract in the newborn. We present a case of congenital membranous jejunal stenosis associated with gastric duplication cysts, which was diagnosed by ultrasonography. To the best of our knowledge, this is the first report of ultrasonographic diagnosis of congenital membranous jejunal stenosis associated with a gastric duplication cyst in a newborn.

Case presentation

A 1-month-old Chinese baby girl presented with projectile vomiting and hyperpyrexia for 3 days. An upper gastrointestinal contrast study showed incomplete duodenal obstruction; however, ultrasonography revealed congenital membranous jejunal stenosis associated with a gastric duplication cyst. After surgical excision of the jejunal membrane and gastric duplication cyst, she recovered well with no bilious vomiting at the 1-year follow-up.

Conclusion

Ultrasonography is a useful tool for the evaluation of membranous jejunal stenosis and the identification of small, asymptomatic gastrointestinal duplication cysts.
Literature
1.
go back to reference Stollman TH, de Blaauw I, Wijnen MH, van der Staak FH, Rieu PN, Draaisma JM, et al. Decreased mortality but increased morbidity in neonates with jejunoileal atresia; a study of 114 cases over a 34-year period. J Pediatr Surg. 2009;44:217–21.CrossRefPubMed Stollman TH, de Blaauw I, Wijnen MH, van der Staak FH, Rieu PN, Draaisma JM, et al. Decreased mortality but increased morbidity in neonates with jejunoileal atresia; a study of 114 cases over a 34-year period. J Pediatr Surg. 2009;44:217–21.CrossRefPubMed
2.
go back to reference Potter EL. Pathology of the fetus and newborn. 2nd ed. Chicago: Year Book Medical Publishers; 1961. Potter EL. Pathology of the fetus and newborn. 2nd ed. Chicago: Year Book Medical Publishers; 1961.
3.
go back to reference Faerber EN, Balsara R, Vinocur CD, de Chadarevian JP. Gastric duplication with hemoptysis: CT findings. AJR Am J Roentgenol. 1993;161:1245–6.CrossRefPubMed Faerber EN, Balsara R, Vinocur CD, de Chadarevian JP. Gastric duplication with hemoptysis: CT findings. AJR Am J Roentgenol. 1993;161:1245–6.CrossRefPubMed
4.
go back to reference Sieunarine K, Manmohansingh E. Gastric duplication cyst presenting as an acute abdomen in a child. J Pediatr Surg. 1989;24:1152.CrossRefPubMed Sieunarine K, Manmohansingh E. Gastric duplication cyst presenting as an acute abdomen in a child. J Pediatr Surg. 1989;24:1152.CrossRefPubMed
5.
go back to reference Gupta AK, Guglani B. Imaging of congenital anomalies of the gastrointestinal tract. Indian J Pediatr. 2005;72:403–14.CrossRefPubMed Gupta AK, Guglani B. Imaging of congenital anomalies of the gastrointestinal tract. Indian J Pediatr. 2005;72:403–14.CrossRefPubMed
6.
go back to reference Berrocal T, Lamas M, Gutieérrez J, Torres I, Prieto C, del Hoyo ML. Congenital anomalies of the small intestine, colon, and rectum. Radiographics. 1999;19:1219–36.CrossRefPubMed Berrocal T, Lamas M, Gutieérrez J, Torres I, Prieto C, del Hoyo ML. Congenital anomalies of the small intestine, colon, and rectum. Radiographics. 1999;19:1219–36.CrossRefPubMed
7.
go back to reference Sunada K, Yamamoto H, Kita H, Yano T, Sato H, Hayashi Y, et al. Clinical outcomes of enteroscopy using the double-balloon method for strictures of the small intestine. World J Gastroenterol. 2005;11:1087–9.CrossRefPubMedPubMedCentral Sunada K, Yamamoto H, Kita H, Yano T, Sato H, Hayashi Y, et al. Clinical outcomes of enteroscopy using the double-balloon method for strictures of the small intestine. World J Gastroenterol. 2005;11:1087–9.CrossRefPubMedPubMedCentral
8.
go back to reference Bonacci JL, Schlatter MG. Gastric duplication cyst: a unique presentation. J Pediatr Surg. 2008;43:1203–5.CrossRefPubMed Bonacci JL, Schlatter MG. Gastric duplication cyst: a unique presentation. J Pediatr Surg. 2008;43:1203–5.CrossRefPubMed
9.
go back to reference Shinde T, Lindner J, Silverman J, Agrawal R, Dhawan M. Gastric-duplication cyst with an aberrant pancreatic-ductal system: an unusual cause of recurrent abdominal pain. Gastrointest Endosc. 2009;69:377–9.CrossRefPubMed Shinde T, Lindner J, Silverman J, Agrawal R, Dhawan M. Gastric-duplication cyst with an aberrant pancreatic-ductal system: an unusual cause of recurrent abdominal pain. Gastrointest Endosc. 2009;69:377–9.CrossRefPubMed
10.
go back to reference Prinsloo H, Loveland J, Grieve A, Andronikou S, Valli OM. Gastric duplication cysts as a rare cause of haematemesis: diagnostic challenges in two children. Pediatr Surg Int. 2011;27:1127–30.CrossRefPubMed Prinsloo H, Loveland J, Grieve A, Andronikou S, Valli OM. Gastric duplication cysts as a rare cause of haematemesis: diagnostic challenges in two children. Pediatr Surg Int. 2011;27:1127–30.CrossRefPubMed
11.
go back to reference Barr LL, Hayden Jr CK, Stransberry SD, Swischuk LE. Enteric duplication cysts in children: are their ultrasonographic wall characteristics diagnostic? Pediatr Radiol. 1990;20:326–8.CrossRefPubMed Barr LL, Hayden Jr CK, Stransberry SD, Swischuk LE. Enteric duplication cysts in children: are their ultrasonographic wall characteristics diagnostic? Pediatr Radiol. 1990;20:326–8.CrossRefPubMed
Metadata
Title
Ultrasonographic diagnosis of congenital membranous jejunal stenosis and gastric duplication cyst in a newborn: a case report
Authors
Liu Qinghua
Wu Shoucai
Liu Xiaofang
Zhang Xincun
Miao Lili
Publication date
01-12-2015
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2015
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/s13256-015-0644-2

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