Gastric duplication cyst

Patients with functioning ectopic gastric mucosa will present with pain, bleeding and perforation. However, patients with intrathoracic foregut duplication cysts, mainly younger patients, will present with respiratory distress caused by compression of the airway. 

Patients normally present in the neonatal period or in infancy and there is a male-to-female ratio of 1 2. The patient may present with constipation, with obstruction if the cyst is of large size, or may present with bleeding if the cyst communicates with the normal gut lumen, and if there is ulceration of gastric mucosa within the duplication cyst. Duplication cysts may be associated with recto-genital or recto-urinary fistula, duplication of the internal or external genitalia, vertebral anomalies and multi-system congenital anomaly complexes. Female patients... 

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