Empyema thoracis with GI Bleed : a diagnostic dilemma- a case report

Amol R Nage; Pradnya S Bendre; Flavia D'souza; Parag Karkera

Volume : VIII, Issue : II, February - 2018

Empyema thoracis with GI Bleed : a diagnostic dilemma- a case report

Amol R Nage, Pradnya S Bendre, Flavia D Souza, Parag Karkera

Abstract :

Gastric duplication cysts are rare variety of gastrointestinal duplications. Sometimes they may present with complications like hemorrhage, infection, perforation, volvulus, intussusception and rarely neoplastic changes in the gastric duplication cyst.

We present one and half year old male child who presented with recurrent history of respiratory distress &haemoptysis .Child was diagnosed as case of rt sided empyema and undergone thoracotomy for same.1 month later child presented with respiratory distress and haemoptysis Clinical presentation resemble like empyema.

Haematological workup were normal. CT imaging solved diagnostic dilemma which revealed secondary infected forgut duplication cyst with possible rupture into right pleural cavity. On exploration an infected and perforated gastric duplication cyst was found. Surgical excision of most part of cyst wall with mucosal stripping of the rest was performed. Histopathology confirmed the diagnosis of gastric duplication cyst with ectopic pancreatic tissue.