Oesophageal duplication cyst causing neonatal haemoptysis.

Duplication anomalies of the alimentary tract often present with myriad clinical symptoms and signs. There have been no reports of haemoptysis as the presenting feature and oesophageal duplication cyst is not considered as a cause for haemoptysis. An infant presented with this unusual manifestation. Chest X-ray showed persistent right upper zone haziness and contrast enhanced computed tomographic scan showed a multiloculated mass on the right side of the chest. The cystic mass was excised via a right thoracotomy and dense adhesions were noted with the oesophagus. The postoperative period was uneventful and histopathological examination revealed it to be a duplication cyst with ectopic gastric mucosa. Thus, the diagnosis was made retrospectively.

Esophageal rupture secondary to blunt trauma in a child.

Oesophageal perforation is the most life threatening of all digestive perforations. External blunt trauma is a rare cause of oesophageal perforation. An 8-years old boy sustained blunt trauma to the chest and abdomen, which led to splenic tear and oesophageal rupture. The splenic tear was managed conservatively. The oesophageal rupture was initially managed by intercostal tube drainage and subsequently by surgical repair. Post-operatively, a suture line leak was managed conservatively. Despite a small-contained leak, he is now on full oral feeds. Esophageal perforation is rare after blunt trauma and often poses difficult management issues. To our knowledge this is also the youngest patient with Oesophageal rupture due to blunt trauma reported.