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

Klimopoulos S, Gialvalis D, Marougas M, Zotos D, Orfanos N, Roussakis A, Argyriou P, Pantelidaki C.
2nd Surgical Department, Evangelismos Hospital, Athens, Greece.

Langenbecks Arch Surg. 2008 Jul 1. [Epub ahead of print]

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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