{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T13:46:49Z","timestamp":1785764809668,"version":"3.56.0"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Gastric duplication cysts are rare congenital anomalies, representing less than 9% of enteric duplication cysts. Most are discovered in infancy, some are asymptomatic, and others present with abdominal pain, gastric outlet obstruction, or a palpable mass. The best treatment is early surgical resection.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>We present a 5-year-old female with a history of persistent vomiting, abdominal pain, early satiety, weight loss, and palpable epigastric mass. Imaging revealed a cystic lesion obstructing the gastric outlet, consistent with a gastric duplication cyst. An exploratory laparotomy was done. The patient recovered, and histological analysis confirmed the diagnosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>Most gastric duplication cysts are noncommunicating cysts. Diagnosis is confirmed through imaging and histology. Surgical excision, when performed early, offers an excellent prognosis as a small percentage of cysts differentiate into malignancies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Gastric duplication cysts are very rare, and diagnosis may be missed or delayed due to nonspecific symptoms that may overlap with gastrointestinal or urinary pathologies. A high index of suspicion is necessary in patients with persistent vomiting and abdominal pain for early diagnosis and excision.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1097\/rc9.0000000000000017","type":"journal-article","created":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T13:12:21Z","timestamp":1768396341000},"page":"48-53","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Noncommunicating gastric duplication cyst at the pylorus in a 5-year-old child: a case report"],"prefix":"10.1097","volume":"138","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-0013-2172","authenticated-orcid":false,"given":"Elisamia","family":"Ngowi","sequence":"first","affiliation":[{"name":"Department of Paediatrics and Child Health, Aga Khan Hospital Tanzania, Dar es Salaam, Tanzania"},{"name":"Department of Paediatrics and Child Health, Aga Khan University, Dar es Salaam, Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clarence","family":"Sumbizi","sequence":"additional","affiliation":[{"name":"Department of Surgery, Aga Khan Hospital, Dar es Salaam, Tanzania"},{"name":"Department of Surgery, Aga Khan University, Dar es Salaam, Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Humrath","family":"Lusheke","sequence":"additional","affiliation":[{"name":"Department of Paediatrics and Child Health, Aga Khan Hospital Tanzania, Dar es Salaam, Tanzania"},{"name":"Department of Paediatrics and Child Health, Aga Khan University, Dar es Salaam, Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juliana","family":"Kwayu","sequence":"additional","affiliation":[{"name":"Department of Paediatrics and Child Health, Aga Khan Hospital Tanzania, Dar es Salaam, Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bhavish","family":"Damji","sequence":"additional","affiliation":[{"name":"Department of Paediatrics and Child Health, Aga Khan Hospital Tanzania, Dar es Salaam, Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ines","family":"Naccache","sequence":"additional","affiliation":[{"name":"Department of Radiology, Aga Khan Hospital Tanzania, Dar es Salaam, Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zainab","family":"Fidaali","sequence":"additional","affiliation":[{"name":"Department of Radiology, Aga Khan Hospital Tanzania, Dar es Salaam, Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Ngimba","sequence":"additional","affiliation":[{"name":"Department of Pathology, Aga Khan Hospital, Dar es Salaam, Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Bulimba","sequence":"additional","affiliation":[{"name":"Department of Paediatrics and Child Health, Aga Khan Hospital Tanzania, Dar es Salaam, Tanzania"},{"name":"Department of Paediatrics and Child Health, Aga Khan University, Dar es Salaam, Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masawa Klint","family":"Nyamuryekung\u2019e","sequence":"additional","affiliation":[{"name":"Department of Surgery, Aga Khan Hospital, Dar es Salaam, Tanzania"},{"name":"Department of Surgery, Aga Khan University, Dar es Salaam, Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,1,2]]},"reference":[{"key":"R1-20260803","first-page":"1\u20134","article-title":"A comprehensive review of enteric duplication cysts, their pathophysiology, presentation,and treatment","volume":"1","author":"Losefsky","year":"2022","journal-title":"Int J Clin Exp Med"},{"key":"R2-20260803","doi-asserted-by":"crossref","first-page":"127\u201331","DOI":"10.1055\/s-0037-1609028","article-title":"Enteric Duplication","volume":"31","author":"Jeziorczak","year":"2018","journal-title":"Clin Colon Rectal Surg"},{"key":"R3-20260803","doi-asserted-by":"crossref","first-page":"1063\u201380","DOI":"10.1148\/radiographics.13.5.8210590","article-title":"Gastrointestinal tract duplications: clinical, pathologic, etiologic, and radiologic considerations","volume":"13","author":"Macpherson","year":"1993","journal-title":"Radiographics"},{"key":"R4-20260803","first-page":"1\u20134","article-title":"Gastric Duplication Cyst: Two Case Reports and Review of the Literature","volume":"2013","author":"Singh","year":"2013","journal-title":"Case Rep Surg"},{"key":"R5-20260803","first-page":"1890\u201391","article-title":"Enteric duplications","volume":"47","author":"Chappell","year":"1973","journal-title":"S Afr Med J"},{"key":"R6-20260803","doi-asserted-by":"crossref","first-page":"184\u201389","DOI":"10.1097\/00000658-198808000-00009","article-title":"Duplications of the alimentary tract. Clinical characteristics, preferred treatment, and associated malformations","volume":"208","author":"Ildstad","year":"1988","journal-title":"Ann Surg"},{"key":"R7-20260803","doi-asserted-by":"crossref","first-page":"330\u201333","DOI":"10.4103\/0189-6725.143146","article-title":"Alimentary tract duplications in children: Report of 16 years\u2019 experience","volume":"11","author":"Zouari","year":"2014","journal-title":"Afr. J. Paediatr. 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