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Double esophageal duplication cysts, with ectopic gastric mucosa: a case report.

Zhang Z, Jin F, Wu H, Tan S, Tian Z, Cui Y - J Cardiothorac Surg (2013)

Bottom Line: The small (1-cm) esophageal cyst was left untreated based on a "wait-and-see" policy.This finding was consistent with a diagnosis of EDC, with ectopic gastric mucosa.The respiratory tract symptoms resolved immediately after the operation.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Thoracic Surgery, The First Hospital of Jilin University, 71 Xinmin Street, Changchun 130021, China. doctorcyb@163.com.

ABSTRACT
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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Follow-up chest computed tomography scan. No disease, residual or recurrent, was found for the resected large-sized cyst (A) and no growth of the small-sized cyst was observed (B) (white arrow).
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Figure 5: Follow-up chest computed tomography scan. No disease, residual or recurrent, was found for the resected large-sized cyst (A) and no growth of the small-sized cyst was observed (B) (white arrow).

Mentions: The respiratory tract symptoms resolved immediately after operation. The patient underwent an uneventful recovery. A chest CT scan revealed no residue of the resected cyst on postoperative day (POD) 5. The patient was discharged from hospital on POD 7, and treatment was continued at the outpatient clinic. At the follow-up visit at 6 months, the patient appeared asymptomatic and generally in good health. A follow-up chest CT scan showed that no disease, residual or recurrent, was present after the resection of the large-sized cyst, and the small-sized cyst remained unchanged in dimension (Figure 5).


Double esophageal duplication cysts, with ectopic gastric mucosa: a case report.

Zhang Z, Jin F, Wu H, Tan S, Tian Z, Cui Y - J Cardiothorac Surg (2013)

Follow-up chest computed tomography scan. No disease, residual or recurrent, was found for the resected large-sized cyst (A) and no growth of the small-sized cyst was observed (B) (white arrow).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4222059&req=5

Figure 5: Follow-up chest computed tomography scan. No disease, residual or recurrent, was found for the resected large-sized cyst (A) and no growth of the small-sized cyst was observed (B) (white arrow).
Mentions: The respiratory tract symptoms resolved immediately after operation. The patient underwent an uneventful recovery. A chest CT scan revealed no residue of the resected cyst on postoperative day (POD) 5. The patient was discharged from hospital on POD 7, and treatment was continued at the outpatient clinic. At the follow-up visit at 6 months, the patient appeared asymptomatic and generally in good health. A follow-up chest CT scan showed that no disease, residual or recurrent, was present after the resection of the large-sized cyst, and the small-sized cyst remained unchanged in dimension (Figure 5).

Bottom Line: The small (1-cm) esophageal cyst was left untreated based on a "wait-and-see" policy.This finding was consistent with a diagnosis of EDC, with ectopic gastric mucosa.The respiratory tract symptoms resolved immediately after the operation.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Thoracic Surgery, The First Hospital of Jilin University, 71 Xinmin Street, Changchun 130021, China. doctorcyb@163.com.

ABSTRACT
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.

Show MeSH
Related in: MedlinePlus