Foregut duplication cyst associated with esophageal atresia and tracheoesophageal fistula: A case report and literature review

Foregut Duplication Cyst Associated with Esophageal Atresia—One-Stage Neonatal Surgical Repair

“…Foregut cysts may be bronchogenic, enterogenous (which include esophageal duplication), neurenteric, or mixed [7]. The treatment of choice of the foregut duplication is total resection, due to the risk of compression if the cyst is only aspirated, hemorrhage and anemia if gastric mucosa is left in place, recurrent pancreatitis, rupture or malignant degeneration [3,6].…”

“…Kluth (1976) presented four cases of EA associated with esophageal duplication [1]. Since then, 12 more cases were reported [2][3][4][5][6]. Eight patients (47 %) had EA with distal TEF, five patients (29.5 %) had EA type V [3,4], one case (5.9 %) isolated EA [3], and one case (5.9 %) had esophageal web and distal TEF [3].…”

“…The diagnosis of foregut duplication is often delayed in cases associated with EA [6], because of its asymptomatic presentation, small-size, or its position out of the surgical exploration field.…”

“…We identified only two cases of EA with distal TEF, where the foregut duplication cyst, situated on the distal esophagus, was an intraoperative finding and resected in one stage together with EA-TEF repair (Narasimharao et al [2], Knod et al [6]). Our case is the third reported.…”

“…Most lesions are cystic and found in the thorax or intraabdominal. Their association with esophageal atresia (EA) is extremely rare with only 16 cases reported so far [1][2][3][4][5][6]. In only two patients, the associated foregut cyst was removed at the time of repair of EA and tracheoesophageal fistula (TEF) [2,6].…”