ABSTRACT
We report an 11-month infant case, who consults electively to perform a laparoscopic Nissen fundoplication, given her background of gastro-esophageal reflux and hiatal hernia. Intraoperatively, a malformation of the distal third of the esophagus was found. The preoperative images showed no evidence of the lesión. The lesión was resected and sent to anatomopathologic analysis, confirming the diagnosis.
Se presenta el caso de una lactante de 11 meses con antecedentes de reflujo gastroesofágico y hernia hiatal que ingresa electivamente a la Sección de Cirugía Pediátrica, con el objetivo de realizar una fundoplicatura de Nissen laparoscópica. En el intraoperatorio se detecta una malformación en el tercio distal del esófago. En las imágenes realizadas previamente no se observó una alteración compatible. La lesión fue resecada y luego analizada en anatomía patológica, confirmándose el diagnóstico de una duplicación esofágica.
Subject(s)
Humans , Female , Infant , Esophageal Cyst/surgery , Esophageal Cyst/congenital , Esophageal Cyst/diagnosis , Esophagus/abnormalities , Esophageal Cyst/pathologyABSTRACT
Gastric wall diseases are found in approximately of 1 percent of the patients submitted to bariatric surgery. Half of these are leiomiomas. Esophageal bronchogenic cysts are exceptional We report a 57 years old female with morbid obesity, a bronchogenic esophageal cyst and subcardial leiomioma. The preoperative study and intraoperative biopsy, suggested the presence of a gastrointestinal stromal tumor (GIST), but the definitive pathological study did not confirm its presence. A total gastrectomy was performed, with an uneventful postoperative course.
La patología intramural gástrica tiene una frecuencia menor al 1 por ciento, en cirugía gástrica. Alrededor del 50 por ciento corresponden a leiomiomas. Los quistes broncogénicos tienen origen embriológico y son excepcionales, y la mayor parte de los reportes corresponden a pacientes pediátricos. Se presenta un caso clínico de paciente portadora de Obesidad mórbida (IMC = 52), asociado a lesión subcardial que simula GIST, cuyo estudio histopatológico resultó ser un quiste esofágico de origen broncogénico de 40 mm, asociado a leiomioma subcardial de 10 mm. Fue sometida a gastrectomía total más anastomosis esófago-yeyunal en Y de Roux, con asa de 180 cm. No presentó morbi-mortalidad postoperatoria. Se discuten los métodos de estudio preoperatorio y las alternativas terapéuticas. No hemos encontrado en la literatura otro caso de asociación de estas raras patologías.
Subject(s)
Humans , Female , Middle Aged , Gastrectomy/methods , Leiomyoma/surgery , Leiomyoma/pathology , Bronchogenic Cyst/surgery , Bronchogenic Cyst/pathology , Esophageal Cyst/surgery , Esophageal Cyst/pathology , Anastomosis, Roux-en-Y , Obesity, Morbid/pathology , Gastrointestinal Stromal Tumors/pathologyABSTRACT
We report an unusual case of a patient with an oesophageal cyst connected to the bronchus. A 24-year old male with a two-year history of repeated attacks of chest infection and haemoptysis was found to have a cyst of 4 x 4 cm affecting the anterior and apical segments of the right upper lobe. The cyst was excised in its entirety and the histopathological study of the cyst showed stratified squamous epithelium with submucosal and muscular layer but no cartilage. The pathological diagnosis was an oesophageal cyst. No previous case of isolated oesophageal cyst connected to the bronchus has been reported according to the available literature.
Subject(s)
Humans , Male , Bronchi/pathology , Bronchogenic Cyst/diagnosis , Esophageal Cyst/diagnosis , Bronchial Neoplasms/diagnosis , Esophageal Neoplasms/diagnosis , Adult , Bronchogenic Cyst/pathology , Bronchogenic Cyst/surgery , Esophageal Cyst/pathology , Esophageal Cyst/surgery , Bronchial Neoplasms/pathology , Bronchial Neoplasms/surgery , Esophageal Neoplasms/pathology , Esophageal Neoplasms/surgeryABSTRACT
Mediastinal cysts are rare and classified into thymic cysts, bronchogenic cysts, enteric cysts, pericardial cysts, lymphatic cysts and other rare types. We describe a case of foregut cyst of esophageal type in a 22 day old male infant. The CT scan showed a cystic lesion. Excised cyst was bilocular and was filled with clear fluid. Microscopically, the cyst was lined by columnar epithelium with well formed lamina propria and double layered muscularis. In view of presence of double layer of muscularis and absence of gastric glands, intestinal epithelium or cartilage, it was classified as esophageal cyst. We report this case of esophageal cyst because of its rarity.
Subject(s)
Epithelium/pathology , Esophageal Cyst/pathology , Esophagus/pathology , Humans , Infant, Newborn , MaleABSTRACT
Isolated intra-abdominal duplication cysts of foregut origin are extremely rare and are discovered incidentally. We report a 70-year-old lady with a giant, truly intra-abdominal esophageal duplication cyst. She was symptom-free one year after excision of the cyst.
Subject(s)
Abdomen , Aged , Esophageal Cyst/pathology , Female , HumansABSTRACT
We experienced a case of a tracheoesophageal cyst in the posterior mediastinum of a three-year-old girl, who complained of cough and fever. We confirmed this case by computerized tomography and pathologic examination after surgical resection. A brief review of the literature is presented.
Subject(s)
Child, Preschool , Female , Humans , Cysts/pathology , Esophageal Cyst/pathology , Mediastinal Diseases/pathology , Trachea/pathologyABSTRACT
We experienced a case of a tracheoesophageal cyst in the posterior mediastinum of a three-year-old girl, who complained of cough and fever. We confirmed this case by computerized tomography and pathologic examination after surgical resection. A brief review of the literature is presented.