A case of cervical esophageal duplication cyst in a newborn infant

Abstract

Esophageal duplication cyst is a rare congenital anomaly resulting from a foregut budding error during the fourth to sixth week of embryonic development. Cervical esophageal duplication cysts are very rare and may cause respiratory distress in infancy. A full-term newborn girl who was born by normal delivery was transferred to our hospital because of swelling of the right anterior neck since birth. Cervical ultrasonography showed a 40 × 24 × 33 mm simple cyst on the right neck. Tracheal intubation was required at 2 weeks of age because of worsening external compression of the trachea. Fine-needle aspiration cytology revealed the existence of ciliated epithelium. At 1 month of age, exploration was performed through a transverse neck incision. The cyst had a layer of muscle connected to the lateral wall of the esophagus. Histopathological diagnosis was a cervical esophageal duplication cyst. We describe the clinical features of infantile cervical esophageal duplication cysts based on our experience of this rare disease in a neonate, along with a review of 19 cases previously reported in literature.

Endoscopic Removal of a Cervical Esophageal Duplication Cyst

“…This provided a minimally invasive approach with limited morbidity. This is the first report of a pediatric cervical esophageal duplication cyst being removed endoscopically, in contrast to the traditional technique of open removal through the neck . She tolerated this procedure well without any long‐term complications.…”

Multiple Esophageal Duplication Cysts in a Toddler

“…have recently tabulated 20 cases of solitary infantile cervical esophageal duplication cysts collected from available literature; most of them were symptomatic. [ 5 ] The clinical findings and radiological evaluation helped in guiding the surgical approach. Computed tomography scan was the mainstay of presurgical diagnosis; it helps in providing dimensions, anatomic relations to the vicinity of structure, and planning surgery.…”

Cervical Oesophageal Duplication Cyst in an Infant

“…Oesophageal duplication cyst is a rare congenital anomaly resulting from a foregut budding error during the fourth to sixth week of embryonic development. [1] Although duplication of oesophagus has been previously reported, majority of them have been found in thoracic oesophagus. [2,3] Cervical oesophageal duplication cysts are extremely rare and only a few cases of this cystic entity have been described in literature to date.…”

“…[2,3] Cervical oesophageal duplication cysts are extremely rare and only a few cases of this cystic entity have been described in literature to date. [1,3] Infants with oesophageal duplication usually manifest with respiratory distress or asymptomatic thoracic mass, casually, detected on X-ray. [3][4][5] In this case, the child presented with a neck mass with noisy breathing.…”

“…Oesophageal duplication cysts are rare congenital cystic masses resulting from an error in foregut budding in the developing embryo with a reported incidence of 1 in 8200 autopsies. [1] Most oesophageal duplication cysts occur in the thorax; involvement of the cervical region is distinctly rare. We report a case of cervical oesophageal duplication cyst in a one year old child managed successfully.…”