Gastrointestinal duplication is a rare congenital anomaly. Although it
usually presents within the first few years of life, it may appear mu
ch later as described in this report of a 19-year-old man who had symp
toms of gastric outlet obstruction. He was found to have a noncommunic
ating antral duplication cyst. The cyst was managed by antrectomy with
excision of the cyst and several centimetres of duodenum. Microscopic
ally the duplication cyst contained a mucosa, submucosa and muscularis
. There was no evidence of ulceration or malignant cells. His recovery
was smooth. The etiology, presentation and management of antral dupli
cation cysts causing gastric outlet obstruction are discusssed.