Abstract
Oesophageal duplication cysts are a rare congenital anomaly of the foregut which usually present in infancy with respiratory symptoms, recurrent pneumonia and feeding difficulty. Other presenting symptoms depend on the location of the cyst and can include dysphagia, chest pain, arrhythmias and features of mediastinal compression. Treatment is usually surgical resection, recommended for complete resolution of symptoms, histological diagnosis and exclusion of malignancy. Here, we present a case of infected oesophageal duplication cyst which presents as a neck lump in a 43-year-old female with a background of Goltz syndrome, azygos fissure and congenital aortic stenosis. Surgical resection was decided against owing to the patient’s high risk secondary to co-morbidities and instead ultrasound guided drainage was carried out successfully. The patient was symptom free and well at 1-year follow-up. Oesophageal duplication is an unusual presentation of a neck lump in an adult and whilst the usual treatment is surgical resection, we present here a case treated in an entirely different manner.
References
Sundaramoorthi T, Behranwala AA, Codispoti M et al (2000) Asymptomatic congenital oesophageal cyst infiltrating the lung: an unusual complication. Eur J Cardiothorac Surg 18:117–119
Rafal RB, Markisz JA (1991) Magnetic resonance imaging of an oesophageal duplication cyst. Am J Gastroenterol 86(12):1809–1811
Nazam M, Amouee AB, Eidy M et al (2010) Duplication of cervical oesophagus: a case report and review of the literatures. Afr J Pediatr Surg 7(2):203–205
Jacquemard F, Palaric JC, Cousin C et al (1991) Prenatal echographic study of esophageal duplication. A case report. J Gynecol Obstet Biol Reprod (Paris) 20(7):963–967
Ratam ML, Anand R, Mittal SK et al (1988) Communicating oesophageal duplication: a report of two cases. Gut 29:254–256
Holemans JA, Rankin SC (1995) Case report: oesophageal duplication cyst causing left lung collapse and hypoperfusion. Br J Radiol 68(805):82–84
Arbona JL, Fazzi JGF, Mayoral J (1984) Congenital oesophageal cysts: case report and review of the literature. Am J Gastroenterol 79:177–182
Kin K, Iwase K, Higaki J et al (2003) Laparoscopic resection of intra-abdominal esophageal duplication cyst. Surg laparosc endosc percutan tech 13:208–211
Adkins JC, Kiesewetter (1983) Congenital malformations of the oesophagus. In: Bluestone CD, Stool SE (eds) Paediatric otolaryngology. WB Saunders, Philadelphia, pp 1053–1066
Strollo DC, Rosado de Christenson ML, Jett JR (1997) Primary mediastinal tumors. Part II. Tumours of the middle and posterior mediastinum. Chest 112:1344–1357
Ware GW, Conrad HA (1953) Thoracic duplication of the alimentary tract. Am J Surg 86:264
Zambudio AR, Lanzas JT, Roca Calvo MJ et al (2002) Non-neoplastic mediastinal cysts. Eur J Cardiothorac Surg 22:712–716
Martin ND, Kim JC, Verma SK et al (2007) Intra-abdominal esophageal duplication cysts: a review. J Gastronintest Surg 11:773–777
Rescorla FJ, Grosfield JL 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 and Wilkins, Philadelphia pp 2415–2422
Espeso A, Verma S, Jani P et al (2007) Mediastinal foregut duplication cyst presenting as a rare cause of breathing difficulties in an adult. Eur Arch Otorhinolaryngol 264:1357–1360
Pisello F, Geraci G, Arnone E et al (2009) Acute onset of esophageal duplication cyst in adult. Case report. G Chir 30:17–20
Uppal P, Kaur J, Agarwala S et al (2010) Communicating oesophageal duplication cyst with heterotrophic pancreatic tissue—an unusual cause of recurrent pneumonia in an infant. Acta Paediatr 99:1432–1433
Overhaus M, Decker P, Zhou H et al (2003) The congenital duplication cyst: a rare differential diagnosis of retrosternal pain and dysphagia in a young patient. Scand J Gastroenterol 38(3):337–340
Will U, Meyer F, Bosseckert H (2005) Successful endoscopic treatment of an esophageal duplication cyst. Scand J Gastroenterol 40:995–999
Javan NG, Debnath J, Kumar A et al (2008) Oesophageal duplication cyst: an unusual cause of retrosternal pain and dysphagia in an adult. Singapore Med J 49(9):242–244
Joyce AM (2006) ZHang PJ, Kochman ML. Complete endoscopic resection of an esophageal duplication cyst. Gastrointest Endosc 64(2):288–289
Lu J, Loo LMA, So JBY (2012) Laparoscopic excision of intrathoracic oesophageal duplication cyst in a singaporean adult male. Ann Acad Med Singapore 41(3):129–131
Neo EL, Watson DI, Bassell JR (2004) Acute ruptured esophageal duplication cyst. Dis Esophagus 17:109–111
Tapia RH, White VA (1985) Squamous cell carcinoma arising in a duplication cyst of the oesophagus. Am J Gastroenterol 80:325–329
Fernando HC, Erdem CC, Daly B et al (2006) Robotic assisted thoracic surgery for resection of an esophageal cyst. Dis Esophagus 19(6):509–511
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Twigg, V., Prasai, A., Lee, F. et al. Oesophageal duplication cysts, a rare cause of neck lump treated by ultrasound guided drainage: case report and review of the literature. Eur Arch Otorhinolaryngol 272, 1543–1546 (2015). https://doi.org/10.1007/s00405-014-3470-z
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DOI: https://doi.org/10.1007/s00405-014-3470-z