ABSTRACT
Esophageal duplication cysts are rare congenital noncancerous growths. Symptoms of this disease are reported to be asymptomatic in approximately 70% but include respiratory symptoms such as coughing and difficulty breathing. Minimally invasive removal of these cysts without esophagectomy is typically recommended. However, when the cyst is situated in the upper mediastinum, surgical excision becomes technically challenging. Here, we report a case of an obese female patient with esophageal duplication cyst in the upper mediastinum who underwent successfully robotic-assisted complete removal of the cyst. A 50-year-old woman presented to a local clinic with a persistent cough and hoarseness lasting 4 months. A computed tomography scan revealed a large cystic tumor in the upper mediastinum, causing displacement of the trachea. The resection of the cystic tumor was safely performed with robotic assistance. The use of robotic system for the removal of esophageal duplication cyst is technically safe and feasible.
Subject(s)
Esophageal Cyst , Robotic Surgical Procedures , Humans , Female , Middle Aged , Robotic Surgical Procedures/methods , Esophageal Cyst/surgery , Esophageal Cyst/diagnostic imaging , Esophageal Cyst/complications , Esophageal Cyst/congenital , Esophagus/surgery , Esophagus/abnormalities , Esophagus/diagnostic imagingABSTRACT
BACKGROUND: Esophageal duplication cysts are rare congenital tumors usually diagnosed and treated during childhood. Most of them are located in the mediastinum and appear as a mass besides the esophagus. Unfortunately, symptoms are non-specific and depend on the size and location of the mass; therefore, they can easily be missed. If symptoms appear, surgical resection is necessary to prevent troublesome complications. CASE PRESENTATION: We present the case of a 60-year-old woman who presented with severe progressive dysphagia and epigastric pain. After further evaluation, a paraesophageal cystic mass was found, and surgery was required. Non-communicating esophageal duplication cyst was the final diagnosis. CONCLUSION: Esophageal duplication cysts are a rare pathology in adults; their symptoms will vary depending on their size and location. Preoperative diagnosis is difficult as symptoms are non-specific and can be missed. If severe dysphagia, pain, or any other complication appears, surgery should not be delayed.
Subject(s)
Deglutition Disorders , Esophageal Cyst , Adult , Female , Humans , Middle Aged , Deglutition Disorders/etiology , Esophageal Cyst/complications , Esophageal Cyst/diagnosis , Esophageal Cyst/surgery , Esophagoscopy , PainSubject(s)
Esophageal Cyst/diagnosis , Esophagus/diagnostic imaging , Incidental Findings , Anemia/etiology , Asymptomatic Diseases , Biopsy, Fine-Needle , Endosonography , Esophageal Cyst/complications , Esophageal Cyst/congenital , Esophageal Cyst/pathology , Esophagoscopy , Esophagus/abnormalities , Esophagus/pathology , Female , Humans , Middle Aged , Weight LossABSTRACT
No disponible
Subject(s)
Humans , Male , Young Adult , Esophageal Perforation , Intestinal Perforation/diagnostic imaging , Intestinal Perforation/surgery , Esophageal Cyst/complications , Mediastinitis/diagnostic imaging , Esophageal Cyst/diagnostic imaging , Chest Pain/etiology , Deglutition Disorders/complications , Leukocytosis , Polymerase Chain Reaction , Mediastinitis/complications , Superinfection , Endoscopy , BiopsySubject(s)
Deglutition Disorders/etiology , Esophageal Cyst/diagnosis , Esophagoscopy , Biopsy , Deglutition Disorders/surgery , Endosonography , Esophageal Cyst/complications , Esophageal Cyst/surgery , Esophagus/diagnostic imaging , Esophagus/pathology , Esophagus/surgery , Humans , Male , Middle Aged , Tomography, X-Ray Computed , Treatment OutcomeABSTRACT
RATIONALE: Esophageal duplication cyst (EDC) is a rare developmental aberration originated from the embryonic foregut. It may remain asymptomatic but produce local mass effect on surrounding organs if rapid enlarges. EDC may sometimes accompany with other congenital malformations. Congenital pulmonary airway malformation (CPAM) is a congenital lung malformation with an unknown chance of developing symptoms. Here we report a rare case of esophageal duplication cyst with type 2 congenital pulmonary airway malformation (CPAM). PATIENT CONCERNS: A 16-month old boy with a prenatal diagnosis of type 2 CPAM presented progressive stridor and respiratory distress and was admitted to our hospital under the diagnosis of pneumonia. The patient responded poorly to antibiotics. A chest Xray (CXR) showed consolidation over the left upper lobe with trachea deviated to right side. A chest computed tomography (CT) revealed a cystic lesion sized 3.3â×â3.3âcm in the superior mediastinum. DIAGNOSES: Post-operative pathological report confirmed the diagnosis of esophageal duplication cyst. INTERVENTIONS: We pre-medicated the patient with steroids and inhaled bronchodilators for airway maintenance. Then the patient received tumor resection via median sternotomy. OUTCOMES: The patient recovered without complication and discharged smoothly 4 days after the surgery. LESSONS: EDC is a rare but potentially life-threatening disease owning to compression of large airways. Chest CT scan could detect the lesion non-invasively and should be considered in patients with persistent stridor, as well as CXR findings of the trachea deviated by a mass lesion in mediastinum, especially for those with CPAM.
Subject(s)
Congenital Abnormalities , Esophageal Cyst/complications , Esophagus/abnormalities , Larynx/abnormalities , Lung/abnormalities , Respiratory Sounds , Congenital Abnormalities/diagnosis , Congenital Abnormalities/therapy , Diagnosis, Differential , Esophageal Cyst/diagnosis , Esophageal Cyst/therapy , Esophagus/diagnostic imaging , Esophagus/surgery , Humans , Infant , Lung/diagnostic imaging , Male , Respiratory Sounds/diagnosisSubject(s)
Deglutition Disorders/etiology , Esophageal Cyst/complications , Aged , Chronic Disease , Conservative Treatment , Endoscopy, Digestive System , Esophageal Cyst/diagnostic imaging , Gases , Humans , Male , Pulmonary Disease, Chronic Obstructive/complications , Risk Factors , Tomography, X-Ray ComputedABSTRACT
Esophageal duplication cysts are rare congenital abnormalities of the foregut and may be associated with other conditions. Association of esophageal duplication with Gastro-Esophageal Reflux Disease (GERD) has not been reported in children. We are reporting a case of a 16 months baby who had antenatal diagnosis of diaphragmatic hernia. Postnatal CTchest, however, suggested a distal esophageal duplication cyst and a contrast esophagogram showed grade-IV GER. A thoracoscopy in another hospital excluded esophageal duplication at that time. Later, he presented with hematemesis in our department and was re-evaluated. Repeat CTconfirmed a persistent 2.5 x 1.3 cm cyst in distal esophagus. Upper GI endoscopy suggested grade-II esophagitis with a wide patent gastro-esophageal junction. The child was treated with left thoracotomy, excision of the duplication cyst and thoracic fundoplication. He had an uneventful post-operative recovery and is doing well at 6 months follow-up.
Subject(s)
Esophageal Cyst/congenital , Esophagitis/diagnosis , Esophagus/abnormalities , Deglutition Disorders/etiology , Endoscopy, Digestive System , Esophageal Cyst/complications , Esophageal Cyst/diagnostic imaging , Esophageal Cyst/surgery , Esophagitis/surgery , Esophagogastric Junction/surgery , Esophagus/surgery , Fundoplication , Gastroesophageal Reflux/etiology , Hernia, Diaphragmatic , Humans , Infant , Male , Radiography , Severity of Illness Index , Thoracoscopy , Thoracotomy , Treatment OutcomeABSTRACT
Oesophageal duplication cysts are a rare congenital anomaly of the foregut which usually present in infancy with respiratory symptoms, recurrent pneumonia and feeding difficulty. Other presenting symptoms depend on the location of the cyst and can include dysphagia, chest pain, arrhythmias and features of mediastinal compression. Treatment is usually surgical resection, recommended for complete resolution of symptoms, histological diagnosis and exclusion of malignancy. Here, we present a case of infected oesophageal duplication cyst which presents as a neck lump in a 43-year-old female with a background of Goltz syndrome, azygos fissure and congenital aortic stenosis. Surgical resection was decided against owing to the patient's high risk secondary to co-morbidities and instead ultrasound guided drainage was carried out successfully. The patient was symptom free and well at 1-year follow-up. Oesophageal duplication is an unusual presentation of a neck lump in an adult and whilst the usual treatment is surgical resection, we present here a case treated in an entirely different manner.
Subject(s)
Abnormalities, Multiple , Aortic Valve Stenosis/congenital , Azygos Vein/abnormalities , Drainage/methods , Esophageal Cyst , Focal Dermal Hypoplasia/diagnosis , Neck Dissection/methods , Adult , Anti-Bacterial Agents/administration & dosage , Diagnosis, Differential , Esophageal Cyst/complications , Esophageal Cyst/congenital , Esophageal Cyst/diagnosis , Esophageal Cyst/physiopathology , Esophageal Cyst/surgery , Female , Humans , Tomography, X-Ray Computed , Treatment Outcome , Ultrasonography, Interventional/methodsABSTRACT
Esophageal duplication cyst is a rare congenital mediastinal cyst. Most of these cysts become symptomatic in childhood and only rare cases remain asymptomatic until adolescence. They may produce symptoms due to esophageal and respiratory system compression, rupture, and infection. A 25-year-old man presented with pulmonary infection and bronchiectasis that did not improve with medical treatment. A diagnosis of esophageal duplication cyst was made intraoperatively.
Subject(s)
Bronchiectasis/etiology , Esophageal Cyst/diagnosis , Esophagus/abnormalities , Pulmonary Infarction/etiology , Rare Diseases/diagnosis , Thoracotomy , Adult , Anti-Infective Agents/therapeutic use , Bronchiectasis/drug therapy , Diagnosis, Differential , Esophageal Cyst/complications , Esophageal Cyst/surgery , Esophagus/surgery , Humans , Male , Pulmonary Infarction/drug therapy , Rare Diseases/complications , Rare Diseases/surgery , Treatment FailureABSTRACT
Chest pain in children is commonly caused by benign etiologies but may be caused by conditions that carry significant morbidity if not treated. Emergency medicine physicians must identify the patients that require further evaluation and treatment. We describe a case of a 13-year-old boy with 10 months of progressive chest pain that had been attributed to anxiety and was ultimately diagnosed as an esophageal duplication cyst requiring surgical repair.
Subject(s)
Esophageal Cyst/diagnosis , Esophagus/abnormalities , Adolescent , Anxiety/etiology , Chest Pain/etiology , Esophageal Cyst/complications , Humans , MaleSubject(s)
Deglutition Disorders/etiology , Empyema/complications , Empyema/microbiology , Esophageal Cyst/complications , Esophageal Cyst/microbiology , Esophageal Perforation/complications , Inflammation/etiology , Acute Disease , Anti-Bacterial Agents/therapeutic use , Comorbidity , Deglutition Disorders/diagnosis , Deglutition Disorders/epidemiology , Empyema/diagnosis , Endoscopy , Esophageal Cyst/diagnosis , Esophageal Perforation/diagnosis , Esophageal Perforation/surgery , Humans , Inflammation/diagnosis , Inflammation/epidemiology , Male , Middle Aged , Streptococcal Infections/drug therapy , Streptococcus intermedius/isolation & purification , Treatment OutcomeABSTRACT
Esophageal duplication cysts are benign, asymptomatic anomalies of foregut formation. We report a case of esophageal duplication cyst with esophageal squamous cancer. An upper endoscopy visualized with esophageal scan disclosed a stenotic lesion in the lower esophagus. Computed tomography images revealed a cystic mass in the inferior mediastinum, which was on the right wall of the esophagus. The postoperative pathology report confirmed the diagnosis of esophageal squamous cancer (ulcer type) and esophageal duplication cyst with calcification.