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The Unique Sonographic Appearance of a Gastric Mucosal Lining Duplication CystDas einzigartige sonografische Erscheinungsbild einer zystischen Duplikatur mit Magenschleimhaut
26 November 2011
21 January 2012
20 February 2012 (online)
Small bowel duplication typically presents before the age of two and can be identified by ultrasound as a cystic lesion with bowel wall signature. We present a gastric mucosal lining ileal duplication cyst in an older child presenting with abdominal pain and anemia. The thick mucosal folds gave the duplication a unique sonographic appearance, and led to the suspicion of gastric mucosal lining duplication as a cause for the chronic bleeding and abdominal pain. For the first time, not only the sonographic images identified a duplication cyst but also correctly identified the specific mucosal lining of the cyst. MRI images of the ileal duplication cyst confirming the diagnosis are shown here as well.