Prenatal diagnosis of esophageal duplication cyst: the value of prenatal MRI

Conforti, Andrea; Nahom, A.; Capolupo, Irma; Mobili, Luisa; Carnevale, Elisabetta; Bagolan, Pietro

doi:10.1002/pd.2220

Cited by 7 publications

(7 citation statements)

References 8 publications

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“…1 Most of patients are asymptomatic prenatally and after birth, although 80% of them develop symptoms during childhood. 10 Cough, stridor, feeding difficulties, and chest pain may occur, depending on the size, location, and growth of the EDC.…”

Section: Discussionmentioning

confidence: 99%

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Esophageal Duplication Cyst Treated Thoracoscopically During the Neonatal Period

et al. 2015

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Esophageal duplication cysts (EDCs) are rare developmental anomalies. They may occur anywhere along the esophagus with the predominant location in the thoracic segment. Presently, most are diagnosed prenatally or in early childhood. The prevalence of EDCs is estimated at 1 in 8200 live births. Usually, cysts are asymptomatic in the neonatal period, but they may cause respiratory distress or feeding difficulties depending on the size and location of the lesion.This report presents a female neonate with a cyst located in the right pleural cavity recognized prenatally. Computed tomography confirmed the diagnosis and revealed a round cystic mass in proximity to the left lung base. Thoracoscopic cyst excision was undertaken on day 15 after delivery. The postoperative period was uneventful. Histological cyst examination confirmed the diagnosis of foregut duplication.This case underlines the importance of early diagnosis and treatment of EDC, before symptoms and complications arise, and confirms that surgery in the neonatal period is safe and effective.

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Section: Discussionmentioning

confidence: 99%

“…The etiology of this entity is explained by several theories. 1–3 According to Bentley and Smith, gastrointestinal duplications occur as a consequence of a split notochord. This anomaly seems to result in impaired development of the vertebrae, spinal cord, muscles, and gastrointestinal tract.…”

Section: Introductionmentioning

confidence: 99%

Esophageal Duplication Cyst Treated Thoracoscopically During the Neonatal Period

et al. 2015

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“…Non-contrast and contrast-enhanced CT scan can demonstrate esophageal cysts and the neighboring esophagus and tracheobronchial tree [14]. If the CT scan produces an equivocal result, a magnetic resonance imaging (MRI) scan [15] and transesophageal endoscopic ultrasonography (EUS) [16] can be used for the preoperative assessment and prenatal diagnosis of EDC [17,18]. A T1-weighted MRI scan can accurately visualize an esophageal cyst, even in the presence of complicating bleeding and infection [19].…”

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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“…An esophageal duplication cyst is the second most common duplication in the gastrointestinal tract, the first being ileal duplication (1), and can rarely be diagnosed in the fetus (2). The mass effect of duplication cysts on the adjacent lung or esophagus may cause respiratory distress or dysphagia in neonates and infants.…”

Section: Commentmentioning

confidence: 99%

“…A tubular appearance, signs of gastrointestinal obstruction (polyhydramnios), and peristaltic movements on prenatal ultrasound and MRI may help in differentiating this cyst from other mediastinal cystic lesions such as type I congenital cystic adenomatoid malformation of the lung, bronchogenic cysts, thoracic neuroblastoma, teratoma, and neurenteric cysts (2).…”

Section: Commentmentioning

confidence: 99%