Esophageal Duplication Cyst

Sodhi, Kushaljit Singh; Saxena, Akshay Kumar; Rao, K. L. N.; Singh, Meenu; Suri, Sudha

doi:10.1097/01.pec.0000190236.50728.0d

Cited by 21 publications

(7 citation statements)

References 5 publications

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“…Affected children may complain of nonspecific esophagus-related or respiratory tract symptoms, depending on the size and the presence or absence of complicating hemorrhage, infection, rupture, or respiratory tract involvement [13]. EDCs may be asymptomatic and incidentally found thoracotomy for other surgical conditions.…”

Section: Discussionmentioning

confidence: 99%

Double esophageal duplication cysts, with ectopic gastric mucosa: a case report

Zhang

Feng

et al. 2013

J Cardiothorac Surg

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Esophageal duplication cyst (EDC) is a congenital malformation of the posterior primitive foregut, which mainly occurs in the thoracic esophagus. Here, we describe a 3-year-old Han Chinese boy afflicted with intermittent fever of acute onset and dry cough. Thoracic computed tomography revealed an 10 cm × 5.4 cm × 5.8 cm oval-shaped, cyst-like tumor located in the extrapleural space, extending along the right paravertebral gutter and compressing the trachea forward. An additional small-sized, oval-shaped cyst was identified in the posterior mediastinum, between the esophagus and the spinal column, at the T1 level. During open thoracotomy, under general anesthesia, an opaque, thick-walled, esophageal cyst was revealed not to be in communication with the esophageal lumen or the trachea. This cyst was subsequently resected in an en bloc manner. The small (1-cm) esophageal cyst was left untreated based on a “wait-and-see” policy. Histological analysis showed that the resected cyst was walled by hyperplastic, fibrous tissues and locally lined with gastric mucosa inherent glands. This finding was consistent with a diagnosis of EDC, with ectopic gastric mucosa. The respiratory tract symptoms resolved immediately after the operation. Computed tomography obtained at the 6-month follow-up showed that no disease, residual or recurrence, was present after the resection of the large-sized cyst, and the small-sized cyst remained unchanged in size.

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Section: Discussionmentioning

confidence: 99%

Double esophageal duplication cysts, with ectopic gastric mucosa: a case report

Zhang

Feng

et al. 2013

J Cardiothorac Surg

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“…10 Clinical presentation varies, with the most common presenting symptoms being dysphagia, epigastric discomfort, and retrosternal pain. 10–12 In our cases, the patients presented with new onset shortness of breath and chest pain. Preoperative diagnosis of an esophageal cyst can be made by standard radiological techniques like CT scans and endoscopic ultrasound.…”

Section: Discussionmentioning

confidence: 99%

“…2,5–9 The most common complaints of symptomatic patients are dysphagia, epigastric discomfort, and retrosternal pain. 10–11 Once diagnosed, the definitive treatment for esophageal cysts is surgical excision. Most cysts are resected due to active symptoms.…”

Section: Introductionmentioning

confidence: 99%

“…However, cysts that are incidentally found and asymptomatic are surgically resected to prevent potential complications from untreated duplication cysts. 2,10,12 Potential complications include cyst rupture, infection, and bleeding. 2,10,12 In addition, in rare cases, malignant transformation of the cysts can occur.…”

Section: Introductionmentioning

confidence: 99%

“…2,10,12 Potential complications include cyst rupture, infection, and bleeding. 2,10,12 In addition, in rare cases, malignant transformation of the cysts can occur. 1,2 Furthermore, definitive diagnosis of esophageal duplication cysts is made via pathological examination of a surgical specimen.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Excision of Esophageal Duplication Cysts with Robotic-Assisted Thoracoscopic Surgery

Obasi

Hebra

Varela

2011

JSLS

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Gastrointestinal Tract: Congenital Abnormalities

Fotis

Burns

Thapar

2012

Encyclopedia of Life Sciences

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The gastrointestinal tract may be subject to a variety of congenital abnormalities (i.e. those present at birth) that arise during embryological development. Specific patterns of malformations of the gastrointestinal tract include abnormal lumenisation (stenoses and atresias), duplications, abnormal rotation and fixation, abdominal defects and a variety of others associated with persistence of embryonic structures (e.g. Meckel's diverticulum), or abnormal formation of specific regions of the gastrointestinal tract (e.g. microgastria) or its cellular components (e.g. nerves in Hirschsprung's disease). These disorders primarily result in symptoms of intestinal obstruction, effects on surrounding structures or of associated anomalies. Early recognition is vital and management consists of timely resuscitation and stabilisation of the patients before institution of definitive surgical therapies. Key Concepts: The gastrointestinal tract is composed of anatomically and functionally distinct regions. The structure of gastrointestinal tract is formed by a complex series of processes that occur to the initial simple gut tube including elongation, herniation out of the abdominal cavity, rotation and fixation. A variety of genes working in isolation or in concert orchestrate the various facets of gut development. A failure in any of the various embryological processes that form the gut can lead to congenital abnormalities, which range from extremely rare to relatively common. Many of these abnormalities are associated with other congenital anomalies. Clinically, most present soon after birth with symptoms of intestinal obstruction or of associated anomalies. Early clinical recognition of these disorders is essential to minimise complications and allow the early institution of appropriate therapies. Although surgery is the commonest intervention early treatment must include adequate resuscitation and stabilisation of the child prior to definitive surgery.

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Esophageal Duplication Cyst

Cited by 21 publications

References 5 publications

Double esophageal duplication cysts, with ectopic gastric mucosa: a case report

Double esophageal duplication cysts, with ectopic gastric mucosa: a case report

Excision of Esophageal Duplication Cysts with Robotic-Assisted Thoracoscopic Surgery

Gastrointestinal Tract: Congenital Abnormalities

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