title: Unusual case of massive hemorrhage of a gastric duplication cyst in a very advanced age.
abstract: OBJECTIVE
  The objective of this study was to report an unusual case of gastric duplication in an 82-year-old female patient.
  
  
  METHODS
  The patient was treated immediately by Billroth I partial gastrectomy due to massive hematemesis. The surgical specimen was histopathologically examined.
  
  
  RESULTS
  The histopathologic report confirmed the operative diagnosis of a gastric duplication cyst. Gastric duplication cysts are rare congenital abnormalities occurring mainly in the pediatric population and rarely in adults. They account for 2% to 7% of all gastrointestinal duplications, having a male to female ratio of 2:1 (Agha et al., AJR Am J Roentgenol 137:406-407, 1981; Macpherson, Radiographics 13:1063-1080, 1993).
  
  
  CONCLUSIONS
  Gastric duplication cysts present with a variety of symptoms and complications including hematemesis. The massive upper gastrointestinal hemorrhage in our octogenarian patient indicates that there is no age limit in clinical manifestations of this rather common in the pediatric population, congenital malformation of the stomach.
authors.affiliation: 2nd Surgical Department, Evangelismos Hospital, Athens, Greece.
authors.forename: Serafeim
authors.initials: S
authors.lastname: Klimopoulos
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Gialvalis
authors.forename: Meletios
authors.initials: M
authors.lastname: Marougas
authors.forename: Dionysios
authors.initials: D
authors.lastname: Zotos
authors.forename: Nikolaos
authors.initials: N
authors.lastname: Orfanos
authors.forename: Antonios
authors.initials: A
authors.lastname: Roussakis
authors.forename: Pinelopi
authors.initials: P
authors.lastname: Argyriou
authors.forename: Catherine
authors.initials: C
authors.lastname: Pantelidaki
mesh_terms: D000369:Aged, 80 and over; D003560:Cysts / Q000150:complications* / Q000473:pathology / Q000601:surgery; D005260:Female; D005743:Gastrectomy; D005753:Gastric Mucosa / Q000473:pathology; D006396:Hematemesis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D013270:Stomach / Q000002:abnormalities*