Recurrent Thoracic Duplication Cyst with Associated Mediastinal Gas

Al-Sadoon, Hammad; Wiseman, N.W.; Chernick, Víctor

doi:10.1155/1998/305489

Cited by 11 publications

(5 citation statements)

References 9 publications

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“…For diagnostic purposes, ultrasound and endoscopy are the preferred tools in detecting cystic lesions (if located in the upper abdomen), which could be misinterpreted as pancreatic pseudocysts and a prominent but soft impression from outside including bridging folds, respectively. However, the diagnostic tool of choice is endosonography [22] (in addition, CT, MRI [9,10,18,19,21,23], and routine chest X-ray [14]), which can detect an association to a specific organ and can characterize muscle layer and epithelial surface. Since duplication cysts often show metaplastic epithelium, a potential for malignant transformation is assumed [5,24].…”

Section: Introductionmentioning

confidence: 99%

Successful endoscopic treatment of an esophageal duplication cyst

Will

Meyer

Bosseckert

2005

Scandinavian Journal of Gastroenterology

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Duplication cysts of the gastrointestinal tract are rare, particularly in adults. Endoscopic minimally invasive treatment is still a challenging approach even in the endoscopically accessible sections of the gastrointestinal tract. In a 25-year-old patient suffering from dysphagia, an endoscopy and subsequent endosonography revealed a spherical duplication cyst in the lower third of the esophagus, which prompted us to puncture the cyst and subsequently to perform a fenestration (marsupialization; diameter 1 cm) in the anterior wall of the cyst, resulting in permanent drainage of the cystic fluid. Because of the recurrent complaints of the patient after 6 weeks, the anterior wall of the duplication cyst, the former esophageal wall, was partially resected, resulting in a permanent 4-cm opening including the cystic cavity into the esophageal lumen. Thereafter, there were no further complaints from the patient and the findings in the follow-up endoscopy were normal. A successful endoscopic intervention for this type of gastrointestinal duplication cyst is described for the first time. The minimally invasive resection of the anterior wall of the esophageal duplication cyst, simultaneously with the former regular wall at this segment of the esophagus, resulted in permanent inclusion of the cystic cavity into the esophageal lumen with no disadvantageous passage of fluid and food through the lower esophagus or changes in the former cystic epithelium. This method is considered to be feasible and a reasonable treatment alternative to the more invasive surgical approach.

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Section: Introductionmentioning

confidence: 99%

Successful endoscopic treatment of an esophageal duplication cyst

Will

Meyer

Bosseckert

2005

Scandinavian Journal of Gastroenterology

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“…However, depending on the patient's condition, some cases only require a puncture or biopsy and conservative treatment [12,24,27]. In addition, reports of recurrence exist due to the remnants of excision [28]. In our patient, the torsion of an ovarian tumor was suspected; therefore, emergency surgery was performed.…”

Section: Discussionmentioning

confidence: 87%

Laparoscopic resection of an intra-abdominal esophageal duplication cyst in the ileum: a case report

et al. 2022

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Background Esophageal duplication cyst (EDC) is a type of gastrointestinal duplication cyst that involves congenital malformations of the gastrointestinal tract. EDCs are frequently found in the mediastinum and thoracoabdominal region, but rarely occur in the abdominal cavity. However, intra-abdominal EDCs are frequently found in the upper abdomen near the abdominal esophagus. Here, we report, for the first time, a case of intra-abdominal EDC that occurred in the ileum. Case presentation A 14-year-old female patient presented to our hospital with complaints of epigastric pain and vomiting. Abdominal computed tomography (CT) revealed a cystic tumor in the pelvis, suspected of ovarian origin. She was admitted to our gynecology department and underwent emergency surgery. The laparoscopic examination revealed that both ovaries were intact and that a primary tumor had developed from the ileal mesentery. Since the patient’s condition was not urgent at the time of the gynecological surgery, the procedure was completed by only performing exploratory laparotomy; the patient was admitted to our department after the surgery. Pelvic magnetic resonance imaging performed on the next day revealed a cystic mass measuring 90 × 65 mm with a smooth margin and homogeneous signal intensity, arising posterior to the uterus. The mass was suspected as an intestinal duplication cyst. On another day, after the examinations were completed, we resected the portion of the small intestine containing the tumor by laparoscopy. The patient had a successful postoperative course and was discharged on the 5th postoperative day. Histological examination showed that the cyst was lined by stratified squamous epithelium, contained esophageal glands, and had a two-layer muscularis propria. Therefore, a diagnosis of intra-abdominal EDC was performed. Conclusions An intra-abdominal EDC cyst is relatively rare; this is the first case reported at the distal ileum.

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“…Hence, after surgical excision of the cyst, repair of the defect in the esophageal wall by approximation of the muscle edges is mandatory to avoid long term complications of a pseudodiverticulum. It is also important to note that recurrence has been reported after incomplete excision of mediastinal cysts [7]. The preoperative diagnosis of a lower esophageal solid tumor that might be amenable to enucleation resulted in the selection of the transhiatal approach vis-à-vis a posterolateral thoracotomy in this case.…”

Section: Discussionmentioning

confidence: 86%