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Kawashima S, Segawa O, Kimura S, Tsuchiya M, Henmi N, Hasegawa H, Fujibayashi M, Naritaka Y. A case of cervical esophageal duplication cyst in a newborn infant. Surg Case Rep 2016; 2:30. [PMID: 27037803 PMCID: PMC4818649 DOI: 10.1186/s40792-016-0157-2] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2016] [Accepted: 03/28/2016] [Indexed: 12/11/2022] Open
Abstract
Esophageal duplication cyst is a rare congenital anomaly resulting from a foregut budding error during the fourth to sixth week of embryonic development. Cervical esophageal duplication cysts are very rare and may cause respiratory distress in infancy. A full-term newborn girl who was born by normal delivery was transferred to our hospital because of swelling of the right anterior neck since birth. Cervical ultrasonography showed a 40 × 24 × 33 mm simple cyst on the right neck. Tracheal intubation was required at 2 weeks of age because of worsening external compression of the trachea. Fine-needle aspiration cytology revealed the existence of ciliated epithelium. At 1 month of age, exploration was performed through a transverse neck incision. The cyst had a layer of muscle connected to the lateral wall of the esophagus. Histopathological diagnosis was a cervical esophageal duplication cyst. We describe the clinical features of infantile cervical esophageal duplication cysts based on our experience of this rare disease in a neonate, along with a review of 19 cases previously reported in literature.
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Affiliation(s)
- Shoko Kawashima
- Department of Surgery, Tokyo Women's Medical University Medical Center East, 2-1-10 Nishi Ogu, Arakawa-ku, Tokyo, 116-8567, Japan.,Department of Pediatric Surgery, Tokyo Women's Medical University, 8-1 Kawada-cho, Shinjuku-ku, Tokyo, Japan
| | - Osamu Segawa
- Department of Surgery, Tokyo Women's Medical University Medical Center East, 2-1-10 Nishi Ogu, Arakawa-ku, Tokyo, 116-8567, Japan. .,Department of Pediatric Surgery, Tokyo Women's Medical University, 8-1 Kawada-cho, Shinjuku-ku, Tokyo, Japan.
| | - Shuri Kimura
- Department of Pediatric Surgery, Tokyo Women's Medical University, 8-1 Kawada-cho, Shinjuku-ku, Tokyo, Japan
| | - Masayoshi Tsuchiya
- Department of Surgery, Tokyo Women's Medical University Medical Center East, 2-1-10 Nishi Ogu, Arakawa-ku, Tokyo, 116-8567, Japan.,Department of Pediatric Surgery, Tokyo Women's Medical University, 8-1 Kawada-cho, Shinjuku-ku, Tokyo, Japan
| | - Nobuhide Henmi
- Division of Neonatal Intensive Care, Tokyo Women's Medical University Medical Center East, 2-1-10 Nishi Ogu, Arakawa-ku, Tokyo, 116-8567, Japan
| | - Hisaya Hasegawa
- Division of Neonatal Intensive Care, Tokyo Women's Medical University Medical Center East, 2-1-10 Nishi Ogu, Arakawa-ku, Tokyo, 116-8567, Japan
| | - Mariko Fujibayashi
- Department of Diagnostic Pathology, Tokyo Women's Medical University Medical Center East, 2-1-10 Nishi Ogu, Arakawa-ku, Tokyo, 116-8567, Japan
| | - Yoshihiko Naritaka
- Department of Surgery, Tokyo Women's Medical University Medical Center East, 2-1-10 Nishi Ogu, Arakawa-ku, Tokyo, 116-8567, Japan
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Abstract
Bronchogenic cyst of the esophagus is an uncommon cause of dysphagia, usually requiring surgical excision by thoracotomy. A case of thoracoscopic excision is described demonstrating reduced morbidity and rapid recovery.
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Affiliation(s)
- D I Watson
- Royal Adelaide Centre for Endoscopic Surgery, University Department of Surgery, Royal Adelaide Hospital, Australia
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Abstract
Three horses were diagnosed as having esophageal inclusion cysts. Clinical signs included dysphagia, swelling of the cervical esophagus, and salivation. Surgical removal of the cyst was attempted in two horses. Both horses survived, but multiple complications occurred, including esophageal fistulation and neurovascular damage. Marsupialization of the cyst was performed in the third horse. The stoma closed 3 weeks after surgery without complications, and endoscopic examination revealed a grossly normal esophagus. Marsupialization may be preferable to surgical removal for treatment of selected esophageal inclusion cysts in horses.
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Affiliation(s)
- A E Sams
- Department of Clinical Sciences, New York State College of Veterinary Medicine, Ithaca 14853
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Samaniego AG, Wilson WH, Chandler JG. Symptomatic congenital lesions of the alimentary tract in adults. Am J Surg 1991; 162:545-52. [PMID: 1670222 DOI: 10.1016/0002-9610(91)90106-n] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
Congenital anomalies of the alimentary tract can evade detection into adulthood because they cause only moderate symptoms or they escape purview of a prepared observer. In other instances, evolution or copathogenesis may need to occur before the lesions become manifest. We have managed 17 of these patients presenting at ages 23 to 71 years. The median duration of symptoms was 5 years, ranging from 1 months to 23 years. Defects of foregut embryogenesis predominated (71%). We were able to establish the correct diagnosis before operating on nine patients, but three had already had a previous celiotomy for the same problem so a truly preoperative diagnosis was possible in only six (35%). The literature validates the dominance of foregut anomalies in adults. There is no older age limit that would exclude consideration of these lesions. Endoscopy, computerized tomography, and ultrasonography have greatly facilitated recognition, but our experience suggests that the principal obstacle to timely diagnosis is the reluctance to consider a congenital cause for an adult's symptoms.
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Affiliation(s)
- A G Samaniego
- Department of Surgery, University of California Davis--East Bay, Oakland
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