Communicating Tubular Esophageal Duplication Combined with Bronchoesophageal Fistula

Esophageal duplication (ED) is rarely diagnosed in adults and is usually asymptomatic. Especially, ED that is connected to the esophagus through a tubular communication and combined with bronchoesophageal fistula (BEF) is extremely rare and has never been reported in the English literature. This condition is very difficult to diagnose. Although some combinations of several modalities, such as upper gastrointestinal endoscopy, esophagography, computed tomography, magnetic resonance imaging, and endoscopic ultrasonography, can be used for the diagnosis, the results might be inconclusive. Here, we report on a patient with communicating tubular ED that was incidentally diagnosed on the basis of endoscopy and esophagography during the postoperational evaluation of BEF.

An esophageal duplication cyst that presented with sudden-onset dysphagia / 대한내과학회지

Esophageal duplication is a rare congenital disorder. Although infrequent, complications such as infection, bleeding, and perforation have been reported. Surgical resection is the standard treatment for esophageal duplication cysts. We report the case of a 45-year-old female with an esophageal duplication cyst that presented with dysphagia, with a review of the literature.

Duplicación esofágica tubular en un recién nacido: reporte de un caso / Tubular esophageal duplication in a newborn infant: a case report

Las duplicaciones del tracto digestivo son malformaciones congénitas bien conocidas, que pueden ocurrir a cualquier nivel desde la lengua hasta el ano. La duplicación esofágica puede ser de tipo tubular o quística y asociarse o no a otras malformaciones congénitas. La mayoría de las lesiones son asintomáticas; se manifiestan cuando adquieren gran tamaño o evolucionan a perforación, infección, sangrado o malignizan (2-3). En este artículo se presenta el caso de un paciente con duplicación esofágica tubular, al cual se le realizó el diagnóstico y tratamiento quirúrgico en la etapa neonatal.

The digestive tract duplications are congenital malformations that can occur at any level from the tongue to the anus. The esophageal duplication can be tubular or cystic and can be associated or not to other congenital malformations. Most of the patients present no symptoms until the duplication enlarges or evolves to perforation, infection, bleeding or becomes malignant (2-3). The following is a case of a newborn patient with tubular esophageal duplication.

Intra-abdominal Esophageal Duplication Cyst in an Adult

Esophageal duplication cysts are congenital anomalies of the foregut that are rarely found in the abdomen. An accurate preoperative diagnosis is not always possible, so the definitive diagnosis can be made by histologic examination of the surgical specimen. We experienced a case of Intra-abdominal esophageal duplication cyst in a 52-year-old female, who initially presented with an esophageal submucosal tumor on upper gastrointestinal endoscopy. She did not have any gastrointestinal symptoms. Barium esophagography, chest computed tomography scan and endoscopic ultrasonography demonstrated the cystic lesion in the intra-abdominal esophagus. Transhiatal enucleation of the lesion was performed successfully via the abdominal approach with no postoperative complications. Histologic study showed that the cyst wall contained a two-layered muscle coat and the surface of the lumen was lined by pseudo-ciliated columnar epithelium. The patient has been doing well without any complaints for 3 months of follow-up period.

A Life-Threatening Case of Tubular Esophageal Duplication Complicated with Aneurysm of the Aorta / 소아과

Esophageal duplication cysts are rare congenital lesions that occur as a result of a failure in the tubulation of the esophagus. They are most frequently single, tubular, or cystic. They may cause compressive symptoms or may be discovered incidentally on chest radiographs. They become symptomatic when complications develop. Symptoms often are related to the location of the duplication; esophageal lesions can create respiratory difficulties. The definitive diagnosis of esophageal duplication cysts requires the pathological evaluation of the cyst after surgical removal. We experienced a rare tubular esophageal duplication, in a 2-month old girl who presented with fever and grunting. This is the first reported case in which the sequence of events of ruptured tubular esophageal duplication with empyema, mediastinitis and aneurysm occured.

A Case of Tubular Esophageal Duplication Presenting with Hematemesis / 대한소화기내시경학회지

A 35-year old male developed epigastric pain and hematemesis one week before admission. Esophagogastroduodenoscopy was performed and a communication between the esophagus and another opening was discovered. On a follow-up CT and barium esophagogram, a tubular duplication was suspected and the patient was referred to the department of cardio-thoracic surgery. A pathological diagnosis of esophageal duplication (tubular type) was established. The patient was discharged and is currently being followed up. Esophageal duplication is a rare congenital malformation. Moreover, it has not heen reported in Korea that esophageal duplication presents with hematemesis.