Congenital gastric duplication: report of three cases with review of the English literature

Gastric duplications are quite rare. They may occur in any part of the stomach, commonly arise from the greater curvature. 110 cases have reported in the English literature. On the other hand 7 of these duplications have been reported in the pyloric region. In this paper we report 3 cases of gastric duplication. In 2 cases the duplication arose from the greater curvature and in one case it arose from the pyloric region causing gastric outlet obstruction. Gastric duplication usually presents with a palpable mass and/ or vomiting. Vomiting from duplication in the pyloric region may simulate congenital hypertrophic pyloric stenosis. Surgical treatment is either by total excision with partial gastrectomy or by excision of the dome of the duplication cyst and stripping of the remaining mucosa from the remaining common wall

Neonatal intestinal obstruction: study of 100 cases

100 cases of neonatal intestinal obstruction had been studied at the Casualty and Paediatric Surgery Departments, Kasr-El-Aini Hospital. The present study showed that the most common cause of neonatal intestinal obstruction was congenital anorectal malformations [39 cases]. Hirschsprung's disease came next [25 cases] and then intestinal atresia and stenosis. Frequently the only diagnostic examination required was plain abdominal roentgenogram. Contrast study of the G.I.T. Was sometimes needed to confirm the diagnosis of incomplete or intermittent obstruction. Neonatal septicaemia and pneumonia were the most common causes of death among neonates with intestinal obstruction