Esophageal duplication cyst: A rare cause of biphasic stridor and feeding difficulty (original) (raw)

2005, International Journal of Pediatric Otorhinolaryngology

AI-generated Abstract

Esophageal duplication cysts are uncommon, benign anomalies often found incidentally in children. This report details a case of a 13-month-old male presenting with biphasic stridor and significant feeding difficulties due to an esophageal duplication cyst causing airway obstruction. Surgical intervention alleviated symptoms, and follow-up showed no residual issues. The study emphasizes the importance of considering esophageal duplication cysts in pediatric patients with unexplained respiratory and feeding symptoms, which may mimic other conditions.

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A rare cause of wheezing in an infant: Esophageal duplication cyst

Indian Journal of Critical Care Medicine, 2014

Esophageal duplication cyst (EDC) is classifi ed as a subgroup of foregut duplication cyst. They are very rare and predominantly detected in children. We present an unusual cause of wheezing in a 2-month-old infant. The diagnosis of EDC was suspected by bronchoscopy, provisionally confi rmed by magnetic resonance imaging, and followed by successful surgical excision of the cyst. We conclude that foregut duplication cyst of the esophagus is very rare, and must be considered in the differential diagnosis of persistent wheezing in infants who do not respond to conventional treatment.

Congenital esophageal duplication cyst: report of two cases

Acta paediatrica Taiwanica = Taiwan er ke yi xue hui za zhi

Esophageal duplication cysts account for a small percentage of benign esophageal tumors and are frequently asymptomatic. Diagnosis is difficult, and patients often seek treatment when complications such as respiratory distress, bleeding, or infection develop. Surgical excision is recommended at the time of cyst discovery whether or not symptoms are present. We report 2 newborn cases with esophageal duplication cysts. Symptoms included respiratory distress and palpable neck mass. Computed tomography demonstrated cystic masses in the retropharyngeal space. Both patients underwent surgical resection of the cyst and the symptoms were relieved. Histopathologic examination revealed esophageal duplication cysts.

Anastomosis instead of resection: An unusual approach for the treatment of a cervical esophageal duplication cyst

Journal of Pediatric Surgery Case Reports, 2014

We report of a 5 year old boy with severe dysphagia. He was operated upon a tubular esophageal duplication located in the upper right mediastinum. Due to the existing severe esophageal stricture the malformation was not resected but unified with the originary lumen of the esophagus using a stapled anastomosis. Access was chosen via low collar incision. During follow up no further stricture occurred. The resection of esophageal duplications is the therapy of choice. In our case, union with the originary organ was performed due to its distinctive anatomical conditions. Besides the collar incision, as an access to an upper mediastinal mass, is a rather uncommon but safe technique to manage such malformations in children. Follow up investigations to eliminate formation of malignancies are recommended. The operative technique in this case is uncommon and has not been described in esophageal duplications yet. It should be considered as an operative strategy for specific anatomical conditions. Esophageal duplication cysts are rare, mostly asymptomatic, congenital anomalies. Most of them are located in the distal thoracic part of the esophagus. Localization in the upper part of the esophagus is rather uncommon and is a challenge to pediatric surgeon. Symptoms are caused by the compressive effect on mediastinal structures or due to local infection [1e4]. Localization in the upper part of the esophagus can lead to dyspnea, particularly in the infant . Dysphagia, as in our case, represents the most common symptom in the older child or adolescent [1]. Surgical resection is indicated in all symptomatic lesions and has to be considered for asymptomatic cysts to prevent complications [2,4e6].

Persistent wheezing as manifestation of esophageal tubular duplication cyst

Upsala Journal of Medical Sciences, 2011

Duplications of esophagus are rare congenital anomalies and the second most common duplications of the gastrointestinal tract. This form of bronchopulmonary foregut malformation may appear as a cystic mediastinal mass. On chest radiographs they may be visible as middle or posterior masses. On CT they are well marginated and oppose the esophagus. Usually they are asymptomatic, unless they become infected or cause obstruction. We report a case of thoracic tubular duplication cyst in a 10-month-old boy who presented with persistent wheezing that was unsuccessfully treated in outpatient services.

Unusual Cause of Esophageal Obstruction in a Neonate Presenting as

2016

Esophageal atresia is the commonest cause of obstruction to esophageal lumen in neonates. Foreign bodies in newborns are extremely rare. We report a rare case of esophageal obstruction closely mimicking atresia due to foreign bodies inserted in a female neonate with homicidal intension.

Distal Esophageal Duplication Cyst with Gastro-Esophageal Reflux Disease: A Rare Association and a Management Challenge

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP, 2016

Esophageal duplication cysts are rare congenital abnormalities of the foregut and may be associated with other conditions. Association of esophageal duplication with Gastro-Esophageal Reflux Disease (GERD) has not been reported in children. We are reporting a case of a 16 months baby who had antenatal diagnosis of diaphragmatic hernia. Postnatal CTchest, however, suggested a distal esophageal duplication cyst and a contrast esophagogram showed grade-IV GER. A thoracoscopy in another hospital excluded esophageal duplication at that time. Later, he presented with hematemesis in our department and was re-evaluated. Repeat CTconfirmed a persistent 2.5 x 1.3 cm cyst in distal esophagus. Upper GI endoscopy suggested grade-II esophagitis with a wide patent gastro-esophageal junction. The child was treated with left thoracotomy, excision of the duplication cyst and thoracic fundoplication. He had an uneventful post-operative recovery and is doing well at 6 months follow-up.

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