Rare intramural bronchogenic cyst of esophagus

Peri-esophageal bronchogenic cysts are well recognised and have been frequently reported in literature. On the contrary, complete intramural bronchogenic cyst of esophagus is a very rare entity. We report a 29 years old female patient, who was managed on 'wait and observe policy', for presumed benign intramural cyst of the esophagus for over 7 years. This resulted in dense pericystic adhesions and overlying muscular atrophy which caused difficulties during operation. Waiting for symptoms before resection leads to increased operative risk, therefore, early surgery, regardless of age, symptoms or location is strongly recommended