Radiological Case of the Month

Eichmann, Dirk; Engler, Sylvia; Oldigs, H D; Schroeder, Heinz; Partsch, Carl-Joachim

doi:10.1001/archpedi.155.9.1067

Cited by 9 publications

(2 citation statements)

References 4 publications

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“…Esophageal cysts are typically asymptomatic, and 80% of cases are diagnosed in childhood. Cysts that continue to grow can cause esophageal obstruction[ 3 ]. Most esophageal cysts are located in the middle and lower parts of the esophagus, and approximately 10% of patients have esophageal cysts that communicate with the esophagus and grow along or attach to it.…”

Section: Discussionmentioning

confidence: 99%

Intra-thyroid esophageal duplication cyst: A case report

Lin,

Liu,

Huang

et al. 2024

World J Clin Cases

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BACKGROUND Esophageal cysts are relatively rare in clinical practice, with most of the literature comprising case reports. Esophageal cysts protruding into the thyroid gland are easily misdiagnosed as thyroid tumors. No such cases have been reported so far. CASE SUMMARY This article reports the case of a 31-year-old adult male diagnosed with thyroid nodules before admission. The patient underwent left thyroidectomy and isthmusectomy. During the surgery, esophageal cysts were identified in the esophageal muscle and thyroid glands. The pathology results confirmed a nodular goiter combined with esophageal cysts. Postoperatively, the patient developed a neck infection and underwent another operation and broad-spectrum antibiotic treatment for recovery. CONCLUSION We report the first clinical case of an esophageal cyst located within the thyroid gland that was successfully treated surgically. Esophageal cyst located within the thyroid gland cause difficulties in diagnosis. In the present study, the contents of the esophageal cysts were calcified foci, and a small amount of fluid mixture, which were easily misdiagnosed as thyroid nodules and misled the surgical methods.

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Section: Discussionmentioning

confidence: 99%

Intra-thyroid esophageal duplication cyst: A case report

Lin,

Liu,

Huang

et al. 2024

World J Clin Cases

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“…Esophageal duplication cysts are exceedingly rare congenital embryonal malformations with estimated prevalence of 0.0122% [ 1 ]. They arise from aberration of posterior division of embryonic foregut at 3 - 4 weeks of gestation [ 4 ]. Majority of them are found in the mediastinum where they present either as separate masses along or in continuity with native esophagus.…”

Section: Discussionmentioning

confidence: 99%

Congenital Esophageal Duplication Cyst: A Rare Cause of Dysphagia in an Adult

et al. 2016

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Esophageal duplication cyst is a rare congenital embryonal gastrointestinal (GI) malformation which is diagnosed most commonly in childhood. In adults, they can present with a variety of symptoms ranging from dysphagia, chest pain, epigastric discomfort, and vomiting to more serious complications including infections, hemorrhage, and ulcerations. A 30-year-old male presented with gradually progressive dysphagia to solids for 4 months without significant weight loss. Clinical examination and routine laboratory examination were unrevealing. Upper GI endoscopy revealed a well-defined submucosal lesion bulging into the esophageal lumen involving the right antero-lateral wall of the distal esophagus. The overlying mucosa was normal with mild luminal narrowing but gastroscope could be negotiated across this narrowing. Differential diagnosis included lipoma, leiomyoma or GI stromal tumors. Contrast-enhanced computed tomography of thorax revealed a 3.5 × 2.3 × 3 cm well-defined homogenous hypodense lesion involving the right antero-lateral wall of the distal thoracic esophagus with likely possibility of submucosal or intramural lesion. Subsequently, endoscopic ultrasonography (EUS) revealed a 3.3 × 2.8 cm homogenous hypoechoic lesion without any vascularity involving the distal esophagus wall suggestive of duplication cyst. The lesion was intramural in location as muscularis propria was seen to go around the lesion. Bronchogenic cyst was excluded due to absence of cartilage and close proximity of the cyst to lumen. Fine-needle aspiration was not attempted in view of high risk of introducing infection. Being symptomatic, the patient underwent complete surgical excision of the cyst with exteriorization of the base which on histopathology confirmed duplication cyst. Esophageal duplication cysts are exceedingly rare congenital embryonal malformations with estimated prevalence of 0.0122% arising from aberration of posterior division of embryonic foregut at 3 - 4 weeks of gestation. This case shows that duplication cysts can rarely masquerade as submucosal tumor in adults and EUS is highly accurate in pre-operative diagnosis and therapeutic decision making. Literature search revealed only a handful of cases of EUS-guided diagnosis of esophageal duplication cyst reported in the literature.

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Ultrasound of the Neonatal Thorax

Gaßner

Geley

2008

Radiological Imaging of the Neonatal Chest

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Radiological Case of the Month

Cited by 9 publications

References 4 publications

Intra-thyroid esophageal duplication cyst: A case report

Intra-thyroid esophageal duplication cyst: A case report

Congenital Esophageal Duplication Cyst: A Rare Cause of Dysphagia in an Adult

Ultrasound of the Neonatal Thorax

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