Esophageal Duplication Cyst Masquerading as a Stromal Tumor in an Adult (original) (raw)
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Esophageal duplication cyst in an adult masquerading as submucosal tumor
Gastrointestinal duplications usually manifest in children and may involve the esophagus in 20% cases. Esophageal duplication cysts are a rare cause of dysphagia in adults. We report the case of a 35-year-old male who presented to us with progressive dysphagia of 6 months duration. Contrast enhanced computed tomography showed a soft-tissue lesion in right lateral wall of distal thoracic esophagus. On endoscopic ultrasound, a heterogeneously echotextured lesion with anechoic component present at intramural location in the lower esophagus was noted. The patient underwent surgical excision of the lesion and histopathology confirmed the diagnosis of esophageal duplication cyst.
Acute ruptured esophageal duplication cyst
Diseases of the Esophagus, 2004
A 32-year-old man presented acutely with a ruptured esohageal duplication cyst. This is a rare complication from an unusual congenital condition. The case describes his clinical presentation, radiological investigation and surgical management. The pathology of the excised specimen is described and a literature review concludes that complete surgical resection of an esophageal duplication is always recommended, even if the condition is asymptomatic. Conventionally this is achieved via a thoracotomy, however thoracoscopicassisted excision may have a role.
Esophageal duplication cyst containing a foreign body
1985
About 10% to 15% of all duplication cysts in the alimentary tract are esophageal. Esophageal duplication cysts are intimately attached to the alimentary tract, are lined by mucous membrane and have smooth muscle. This paper describes a 2-year-old child who presented with symptoms of progressive respiratory distress. A diagnosis of esophageal duplication cyst was made. At surgery a low cervical incision was made and the sternal manubrium split, thereby providing adequate exposure. The cyst was then removed. The most useful investigations were chest roentgenography and barium esophagography. Computerized tomography showed a small, round foreign body in the middle of the cyst that was subsequently found to be a bingo chip. Communication between the cyst and the esophagus was not obvious at the time of surgery and had not been demonstrated by barium esophagography. When complete excision of the cyst is not possible because of inflammatory reaction all the mucosa must be removed to preve...
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.
Esophageal Leiomyoma Mimicking As Duplication Cyst
2017
Esophageal duplication cyst is a rare entity but well documented. Majority of them are usually diagnosed in childhood but adults are more likely to be symptomatic. Endoscopic ultrasound (EUS) is a diagnostic tool of choice to investigate duplication cyst since it can differentiate between solid and cystic component. However, esophageal duplication cyst, due to its solid content can masquerade as leiomyoma or other benign lesions, but it is exceptionally rare where leiomyoma of esophagus presented as homogenous anechoic lesion mimicking a duplication cyst. We present a case which posed a diagnostic dilemma with EUS appearances closely resembling esophageal duplication cyst, whereas CT scan was suggestive of leiomyoma. However intraoperative findings and histopathological examination of specimen confirmed it to be esophageal leiomyoma.
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].
Squamous cell carcinoma arising from a congenital duplication cyst of the esophagus in a young adult
Diseases of the Esophagus
Squamous cell carcinomas arising from the congenital anomalies in the esophagus are rare. One such case of an 18-year-old man, with an associated history of ventricular septal defect, who developed an epithelial malignancy within the duplication cyst extending to involve the lower third of esophagus is presented here. He responded well to radical treatment using concurrent chemo-irradiation, and continues to be free of disease after a follow-up of 14 months.