Distal esophageal duplication cyst with gastro-esophageal reflux disease: a rare association and a management challenge
JCPSP-Journal of the College of Physicians and Surgeons Pakistan. 2016; 26 (2): 148-150
em Inglês
| IMEMR
| ID: emr-176253
ABSTRACT
Esophageal duplication cysts are rare congenital abnormalities of the foregut and may be associated with other conditions. Association of esophageal duplication with Gastro-Esophageal Reflux Disease [GERD] has not been reported in children. We are reporting a case of a 16 months baby who had antenatal diagnosis of diaphragmatic hernia. Postnatal CT chest, however, suggested a distal esophageal duplication cyst and a contrast esophagogram showed grade-IV GER. A thoracoscopy in another hospital excluded esophageal duplication at that time. Later, he presented with hematemesis in our department and was re-evaluated. Repeat CT confirmed a persistent 2.5 x 1.3 cm cyst in distal esophagus. Upper GI endoscopy suggested grade-II esophagitis with a wide patent gastro-esophageal junction. The child was treated with left thoracotomy, excision of the duplication cyst and thoracic fundoplication. He had an uneventful post-operative recovery and is doing well at 6 months follow-up
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Índice:
IMEMR (Mediterrâneo Oriental)
Assunto principal:
Imageamento por Ressonância Magnética
/
Refluxo Gastroesofágico
/
Fundoplicatura
/
Gerenciamento Clínico
/
Cistos
Tipo de estudo:
Relato de Casos
Limite:
Humanos
/
Lactente
Idioma:
Inglês
Revista:
J. Coll. Physicians Surg. Pak.
Ano de publicação:
2016
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