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Asymptomatic thoracic esophageal duplication cyst in a young adult with bronchiectasis.

Tomar LR, Mannar V, Pruthi S, Aggarwal A - Lung India (2015 Jul-Aug)

View Article: PubMed Central - PubMed

Affiliation: Department of Medicine, University College of Medical Sciences (University of Delhi) and Guru Teg Bahadur Hospital, Delhi, India.

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Benign esophageal cysts—a type of gastrointestinal duplication cysts are rare embryonic malformations with an incidence of 1:1,00,000 in childhood with only 160 cases reported in the adults... Based on morphology, esophageal duplications may be cystic, tubular, and diverticular with cystic being the most common... An 18-year-old female presented to medicine outpatient department with chief complaints of fever, cough, and breathlessness for 1–2 months... Fever was high grade, associated with chills and rigor... She also had productive cough with expectoration of copious, non-foul smelling sputum... This was associated with breathlessness and left-sided, dull aching chest pain... Past history failed to reveal any history of tuberculosis, dysphagia, odynophagia, and recurrent vomiting... In view of this, contrast-enhanced computed tomography of thorax was done and it revealed a tubular cystic lesion measuring 9.1 × 3.1 × 2.9 cm in the left paratracheal region with minimal fluid and thin enhancing wall causing slight deviation of trachea and esophagus to the right side... There were cystic and tubular bronchiectatic changes in all segments of left lower lobe with large cavity formation of 3.5 × 4.4 × 2.8 cm in superior segment [Figures 2 and 3]... However, scope negotiated across without any resistance (radial endoscopic ultrasound done using Olympus CLV 180 scope) suggested an elongated tubular structure parallel to esophagus with common serosal lining likely to be an esophageal duplication cyst... Esophageal duplication cysts are a manifestation of anomalies of the foregut along with bronchogenic cysts and constitute up to 1 out of 15 cases of mediastinal cysts... Most of them are found incidentally in children evaluated for other medical problems and may be associated with other congenital anomalies, such as small intestine duplications, esophageal atresias distal to the duplication, tracheoesophageal fistulas, and spinal abnormalities.

No MeSH data available.


Related in: MedlinePlus

Coronal contrast-enhanced computed tomography shows tubular structure (with air), between the trachea and aortic arch, also displacing the trachea to right
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Figure 2: Coronal contrast-enhanced computed tomography shows tubular structure (with air), between the trachea and aortic arch, also displacing the trachea to right

Mentions: The chest radiography revealed bronchiectatic lesions in left lung lower zone, which was consistent with clinical findings and surprisingly revealed a cystic lesion on left side of trachea, just below carina [Figure 1], which led to possibility of a mass lesion in the thorax. In view of this, contrast-enhanced computed tomography of thorax was done and it revealed a tubular cystic lesion measuring 9.1 × 3.1 × 2.9 cm in the left paratracheal region with minimal fluid and thin enhancing wall causing slight deviation of trachea and esophagus to the right side. There were cystic and tubular bronchiectatic changes in all segments of left lower lobe with large cavity formation of 3.5 × 4.4 × 2.8 cm in superior segment [Figures 2 and 3].


Asymptomatic thoracic esophageal duplication cyst in a young adult with bronchiectasis.

Tomar LR, Mannar V, Pruthi S, Aggarwal A - Lung India (2015 Jul-Aug)

Coronal contrast-enhanced computed tomography shows tubular structure (with air), between the trachea and aortic arch, also displacing the trachea to right
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4502213&req=5

Figure 2: Coronal contrast-enhanced computed tomography shows tubular structure (with air), between the trachea and aortic arch, also displacing the trachea to right
Mentions: The chest radiography revealed bronchiectatic lesions in left lung lower zone, which was consistent with clinical findings and surprisingly revealed a cystic lesion on left side of trachea, just below carina [Figure 1], which led to possibility of a mass lesion in the thorax. In view of this, contrast-enhanced computed tomography of thorax was done and it revealed a tubular cystic lesion measuring 9.1 × 3.1 × 2.9 cm in the left paratracheal region with minimal fluid and thin enhancing wall causing slight deviation of trachea and esophagus to the right side. There were cystic and tubular bronchiectatic changes in all segments of left lower lobe with large cavity formation of 3.5 × 4.4 × 2.8 cm in superior segment [Figures 2 and 3].

View Article: PubMed Central - PubMed

Affiliation: Department of Medicine, University College of Medical Sciences (University of Delhi) and Guru Teg Bahadur Hospital, Delhi, India.

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

Benign esophageal cysts—a type of gastrointestinal duplication cysts are rare embryonic malformations with an incidence of 1:1,00,000 in childhood with only 160 cases reported in the adults... Based on morphology, esophageal duplications may be cystic, tubular, and diverticular with cystic being the most common... An 18-year-old female presented to medicine outpatient department with chief complaints of fever, cough, and breathlessness for 1–2 months... Fever was high grade, associated with chills and rigor... She also had productive cough with expectoration of copious, non-foul smelling sputum... This was associated with breathlessness and left-sided, dull aching chest pain... Past history failed to reveal any history of tuberculosis, dysphagia, odynophagia, and recurrent vomiting... In view of this, contrast-enhanced computed tomography of thorax was done and it revealed a tubular cystic lesion measuring 9.1 × 3.1 × 2.9 cm in the left paratracheal region with minimal fluid and thin enhancing wall causing slight deviation of trachea and esophagus to the right side... There were cystic and tubular bronchiectatic changes in all segments of left lower lobe with large cavity formation of 3.5 × 4.4 × 2.8 cm in superior segment [Figures 2 and 3]... However, scope negotiated across without any resistance (radial endoscopic ultrasound done using Olympus CLV 180 scope) suggested an elongated tubular structure parallel to esophagus with common serosal lining likely to be an esophageal duplication cyst... Esophageal duplication cysts are a manifestation of anomalies of the foregut along with bronchogenic cysts and constitute up to 1 out of 15 cases of mediastinal cysts... Most of them are found incidentally in children evaluated for other medical problems and may be associated with other congenital anomalies, such as small intestine duplications, esophageal atresias distal to the duplication, tracheoesophageal fistulas, and spinal abnormalities.

No MeSH data available.


Related in: MedlinePlus