Persistent wheezing as manifestation of esophageal tubular duplication cyst (original) (raw)
Related papers
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.
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.
Tracheal Duplication Cyst Presenting as Chest Pain
Cureus
Tracheal duplication cysts (TDCs) are congenital malformations that are rarely diagnosed in adulthood. The authors present a case of a 43-year-old female with no known comorbidities with a two-year history of chest and upper abdominal pain. Her previous imaging on an outpatient basis was suggestive of an esophageal duplication cyst, and she was lost to follow-up until the current admission. She gave a past surgical history of video-assisted thoracoscopic surgery for a "cyst" excision, with the relevant details unavailable. On examination, the findings were unremarkable. Repeat imaging was suggestive of an esophageal duplication cyst with no change in dimensions. She underwent a right-sided elective thoracotomy and cyst excision. Intraoperatively, a smooth globular mass was visualized next to the esophagus below the level of the carina. The biopsy revealed a TDC. The patient had an uneventful postoperative period and was asymptomatic on follow-up after three months. TDCs pose a diagnostic challenge as they can only be diagnosed by imaging and histopathology. However, when the imaging is atypical, histopathology clinches the diagnosis. Complete surgical excision is recommended for symptomatic patients after ruling out malignancy. Recurrence of the lesion must be considered in patients such as ours. Our case emphasizes the consideration of TDCs in the differential diagnosis and advocates the importance of complete surgical resection to prevent a recurrence.
Foregut duplication cyst: An unusual presentation during childhood
North American Journal of Medical Sciences, 2012
The patient is a 2-year-old boy, product of cesarean section, to a G2P1A1 mother. The boy was well vaccinated except for PCV and ROTA vaccine, otherwise up to date. He was previously healthy, until he presented with cough of 10 days and fever of 3 days duration.