ABSTRACT
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.
Subject(s)
Esophageal Cyst/complications , Esophagus/abnormalities , Hemoptysis/etiology , Humans , Infant , Male , Tomography, X-Ray ComputedABSTRACT
Duplications of the esophagus are the second most common duplication of the gastrointestinal tract. The children with esophageal duplication cyst usually present with respiratory distress or as asymptomatic thoracic mass found on incidental chest x-ray. We report a case of infected esophageal duplication cyst initially confused with empyema in a two years old boy.
Subject(s)
Child, Preschool , Empyema/etiology , Esophageal Cyst/complications , Esophagus/abnormalities , Humans , MaleABSTRACT
Apresenta-se um caso de homem com 61 anos de idade, portador de carcinoma do terço médio do esôfago. Foi submetido a ressecçäo gastro-esofágica radical através de laparotomia mediana e toracotomia direita. O exame histopatológico mostrou carcinoma de células escamosas nitidamente originado da camada epitelial de cisto esofágico duplicado. Mostrou-se mediante imunohistoquímica células tumorais coradas para p53. Em 11 meses de evoluçäo o paciente permanece asssintomático
Subject(s)
Humans , Male , Middle Aged , Carcinoma, Squamous Cell/surgery , Carcinoma, Squamous Cell/diagnosis , Esophageal Cyst/complications , Esophageal Neoplasms/surgery , Esophageal Neoplasms/diagnosis , Carcinoma, Squamous Cell/pathology , Esophageal Neoplasms/pathologyABSTRACT
El quiste esofágico de duplicación es una patología intratorácica infrecuente. Presentamos un paciente de 38 años que consulta por afagia brusca y dolor retroesternal, al que se estudió mediante Rx, endoscopia y TC, realizándose el diagnóstico definitivo por anatomía patológica
Subject(s)
Humans , Male , Adult , Esophageal Cyst/diagnosis , Mediastinal Cyst , Chest Pain/etiology , Esophageal Cyst/complications , Esophageal Cyst/history , Mediastinal Cyst/diagnosis , Mediastinal Cyst/etiology , Deglutition Disorders/diagnosis , Deglutition Disorders/etiologyABSTRACT
Esophageal duplication cysts account for a very small percentage of benign esophageal tumors and are infrequently symptomatic. Esophageal duplication cysts result from aberrant alignment of the normal vacuolization process that produce the esophageal lumen in the 5th to 8th week of embryonic life. Complications most often are bleeding into or infection of cysts. Recently, we experienced a case of esophageal duplication cyst complicated with intramural huge hematoma and the cause of hematoma could not be identified. We report it with a review of literatures.