Mixed foregut cyst associated with esophageal atresia

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

“…A suspected mediastinal mass on chest radiograph led three patients to surgery [5,6]. The diagnosis was reached once with pre-operative ultrasonography [9], and another time on esophagram following TEF and esophageal web repair [8]. In our case and that of Narasimharao et al [7], surgery was indicated for EA-TEF repair and the cyst was an intraoperative finding.…”

“…With only two cysts diagnosed at initial surgery, we found that most were intimate to the esophagus, one proximal [8] and four distal [3,7,9,10], and three cysts were without esophageal association [5,6]. A connection between the cyst and esophagus does not predispose to earlier diagnosis.…”

“…Nine cases of EA and/or TEF associated with a foregut cyst(s) have been reported in seven case reports and one case series, the first in 1956 [3][4][5][6][7][8][9][10]. The types of EA reported with cysts were representative of the population trends with the most common being type C (proximal EA with distal TEF) [3,5,7], followed by type A (EA without fistula) [4,5], then type E (H-type TEF without EA) [8], and type B (EA with proximal TEF) [6].…”

“…Two years following neonatal EA-TEF repair, the patient presented with epigastric pain and was eventually found to have a mediastinal-abdominal (foregut) cyst at resection [9]. Although extension beyond the mediastinum is infrequent a surgeon must be cognizant of such cases.…”

Thoracoscopic stapled resection of multiple esophageal duplication cysts with different pathological findings

“…Mixed foregut cysts with components of both a bronchogenic cyst and an esophageal duplication cyst or multiple bronchogenic cysts with an esophageal duplication cyst have been reported [5,6]. Robinson et al reported a case of multiple esophageal duplication cysts.…”