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Mediastinal foregut duplication cyst presenting as a rare cause of breathing difficulties in an adult

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Abstract

Foregut duplication cysts are rare congenital anomalies of enteric origin. The diagnosis is usually made in infancy. We report the unusual case of a 71-year-old female presenting to the ENT department with shortness of breath and stridor due to an oesophageal reduplication cyst. The presentation, diagnosis and management of this potential pitfall for the unwary are outlined.

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References

  1. Accadia M, Ascione L, De Michele M, Saulino C, Alabiso ME, Tuccillo B (2004) Esophageal duplication cyst: a challenging diagnosis of a paracardiac mass. Echocardiography 21:551–554

    Article  PubMed  Google Scholar 

  2. Birmole BJ, Kulkarni BK, Vaidya AS, Borwankar SS (1994) Intrathoracic enteric foregut duplication cyst. J Postgrad Med 40:228–230

    PubMed  CAS  Google Scholar 

  3. Burgner DP, Carachi R, Beattie TJ (1994) Foregut duplication cyst presenting as neonatal respiratory distress and haemoptysis. Thorax 49: 287–288

    PubMed  CAS  Google Scholar 

  4. Burnand KG, Young AE (1998) The new Aird’s companion in surgical studies, 2nd edn. Churchill Livingstone, New York

    Google Scholar 

  5. Casanova M, Bizeau A, Bousquet F, Alre A, Lory D Thouard H Solacroup JC (1996) Cystic duplication of the esophagus, a rare etiology of dysphagia. Apropos of a case. Rev Laryngol Otol Rhinol (Bord) 117:133–136

    CAS  Google Scholar 

  6. Chen VK, Eloubeidi MA (2005) Endoscopic ultrasound-guided fine-needle aspiration of intramural and extraintestinal mass lesions: diagnostic accuracy, complication assessment, and impact on management. Endoscopy 37:984–989

    Article  PubMed  CAS  Google Scholar 

  7. Cioffi U, Bonavina L, De Simone M, Santambrogio L, Pavoni G, Testori A, Peracchia A (1998) Presentation and surgical management of bronchogenic and esophageal duplication cysts in adults. Chest 113:1492–1496

    PubMed  CAS  Google Scholar 

  8. Diaz de Liaño A, Ciga MA, Trujillo R, Aizcorbe M, Cobo F, Oteiza F (1999) Congenital esophageal cysts-two cases in adult patients. Hepatogastroenterology 46:2405–2408

    Google Scholar 

  9. Dominquez-Jimenez JL (2006) Spontaneous intramural dissection of the esophagus. Gastroenterol Hepatol 29:294–296

    Article  Google Scholar 

  10. Eaton D, Billings K, Timmons C, Booth T, Biavati MJ (2001) Congenital foregut duplication cysts of the anterior tongue. Arch Otol Head Neck Surg 127:1484–1487

    CAS  Google Scholar 

  11. Edwards J, Pearson S, Zalzal G (2005) Foregut duplication cyst of the hypopharynx. Arch Otolaryngol Head Neck Surg 131:1112–1115

    Article  PubMed  Google Scholar 

  12. El-Bitar MA, Milmoe G, Kumar S (2003) Intralingual foregut dupliction cyst in a newborn. Ear Nose Throat J 82:454–456

    PubMed  Google Scholar 

  13. Eloubeidi MA (2005) The utility and the safety of EUS-guided FNA in the evaluation of duplication cysts. Gastrointest Endosc 62:575–580

    Article  PubMed  Google Scholar 

  14. Essodegui F, Benjelloun A, Zamiati W, Gharbi A, Ksiyer M (1996) Upper esophageal duplication. Apropos of a case disclosed by respiratory distress. Ann Radiol (Paris) 39:193–196

    CAS  Google Scholar 

  15. Fitz RH (1884) Persistent omphalomesenteric remains: their importance in the causation of intestinal duplication, cyst formation and obstruction. Am J Med Sci 88:30–57

    Article  Google Scholar 

  16. Gopp AR (2005) Anesthetic management of a patient with a mediastinal foregut duplication cyst: a case report. AANA J 73:55–61

    PubMed  Google Scholar 

  17. Gross RE (1953) Duplications of the alimentary tract. In: The surgery of infancy and childhood, pp 221–245

  18. Hemalatha V, Batcup G, Brereton RJ, Splitz L (1980) Intrathoracic foregut cyst (foregut duplication) associated with oesophageal atresia. J Pediatr Surg 15:178–180

    Article  PubMed  CAS  Google Scholar 

  19. Hervekka FAM, Tedesco P, Patti MG (2006) Thoracoscopic resection of esophageal duplication cysts. Dis Esophag 19:132–134

    Article  Google Scholar 

  20. Holcomb GW 3rd, Gheissari A, O’Neill JA Jr (1989) Surgical management of alimentary tract duplications. Ann Surg 209:167–174

    Article  PubMed  Google Scholar 

  21. Kim DH, Kim JS, Nam ES, Shin HS (2000) Foregut duplication cyst of the stomach. Pathol Int 50:142–145

    Article  PubMed  CAS  Google Scholar 

  22. Kong K, Walker P, Cassey J, O’Callaghan S (2004) Foregut duplication cyst arising in the floor of mouth. Int J Pediatr Otorhinolaryngol 68:827–830

    Article  PubMed  Google Scholar 

  23. Ladd WE (1937) Duplications of the alimentary tract. South Med J 30:363

    Article  Google Scholar 

  24. Laraja RD, Rothenberg RE, Chapman J, Imran-Ul-Haq, Sabatini MT (1995) Foregut duplication cyst: a report of a case. Am Surgeon 61:840–841

    PubMed  CAS  Google Scholar 

  25. Narasimharao KL, Mitra SK (1987) Esophageal atresia associated with esophageal duplication cyst. J Pediatr Surg 22:984–985

    Article  PubMed  CAS  Google Scholar 

  26. Neo EL, Watson DI, Bessell JR (2004) Acute ruptured esophageal duplication cyst. Dis Esophagus 17:109–111

    Article  PubMed  Google Scholar 

  27. Menon P, Rao KL, Saxena AK (2004) Duplication cyst of the stomach presenting as hemoptysis. Eur J Pediatr Surg 14:429–431

    Article  PubMed  CAS  Google Scholar 

  28. Moulton MS, Moir C, Matsumoto J, Thompson DM (2005) Esophageal duplication cyst: a rare cause of biphasic stridor and feeding difficulty. Int J Pediatr Otorhinolaryngol 69:1129–1133

    Article  PubMed  Google Scholar 

  29. O’Neil J, Rowe M (1995) Duplications of the gastrointestinal tract. In: Essentials of pediatric surgery. Mosby Yearbook, St Louis, pp 520–525

    Google Scholar 

  30. Overhaus M, Decker P, Zhou H, Textor HJ, Hirner A, Scheurlen C (2003) The congenital duplication cyst: a rare differential diagnosis of retrosternal pain and dysphagia in a young patient. Scand J Gastroenterol 38:337–340

    Article  PubMed  CAS  Google Scholar 

  31. Pianzola HM, Otino A, Canestri M (2001) Cystic duplication of the esophagus. Acta Gastroenterol Latinoam 31:333–338

    PubMed  CAS  Google Scholar 

  32. Potter EL (1961) Pathology of the fetus and newborn. Arnold Edward

  33. Prasad A, Sarin YK, Ramji S, Suri VS, Sinha A, Malhotra V (2002) Mediastinal enteric duplication cyst containing aberrant pancreas. Ind J Pediatr 69:961–962

    CAS  Google Scholar 

  34. Rescorla FJ, Grosfeld JL (2000) Gastroenteric Cysts and Neurenteric Cysts in Infants and Children. In: Shields TW, LoCicero J III, Ponn RB (eds) General thoracic surgery. vol 2. 5th edn. Williams & Wilkins, Philadelphia pp 2415–2422

    Google Scholar 

  35. Rattan KN, Magu S, Rohilla S (2004) Mediastinal foregut duplication cysts. Indian J Pediatr 71:103–105

    PubMed  Google Scholar 

  36. Sabatini M T (1995) Foregut duplication cyst: a report of a case. Am Surgeon 61:840–841

    PubMed  Google Scholar 

  37. Singal AK, Bhatnagar V, Mitra DK (2004) Oesophageal duplication cyst causing neonatal haemoptysis. Trp Gastroenterol 25:99–100

    Google Scholar 

  38. Will U, Meyer F, Bosseckert H (2005) Successful endoscopic treatment of an esophageal duplication cyst. Scand J Gastroenterol 40:995–999

    Article  PubMed  Google Scholar 

  39. Wrenn EL (2000) Alimentary tract duplications. In: Holder TM (eds). Pediatric surgery. WB Saunders, Philadelphia

    Google Scholar 

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Espeso, A., Verma, S., Jani, P. et al. Mediastinal foregut duplication cyst presenting as a rare cause of breathing difficulties in an adult. Eur Arch Otorhinolaryngol 264, 1357–1360 (2007). https://doi.org/10.1007/s00405-007-0364-3

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  • DOI: https://doi.org/10.1007/s00405-007-0364-3

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