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Chronic gastroesophageal reflux disease secondary to a distal esophageal duplication cyst associated with a hiatal hernia

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Summary

Background

Esophageal duplication cysts are asymptomatic gastrointestinal anomalies that are infrequently seen, usually diagnosed as a secondary finding. In adults, they can be associated with gastroesophageal reflux disease (GERD) and are usually detected with a radiologic study.

Methods

We report the case of a 55-year-old woman with a 2-year history of pyrosis, regurgitation, coughing fits, and dysphagia. An esophagogastroduodenoscopy (EGD) was done, detecting a subepithelial lesion at the gastroesophageal junction with a type I hiatal hernia; endoscopic ultrasound and a CT scan were performed, showing a distal esophageal mass that generated a narrowing of the esophageal diameter with proximal dilation.

Results

An esophageal duplication cyst was diagnosed. Excision of the mass, hiatoplasty, and gastric fundoplication were auspiciously achieved by an abdominal transhiatal approach. A year after the procedure, the patient is asymptomatic and without complications.

Conclusion

If a patient presents with epigastric pain and GERD-like symptoms, with no benefit from medical treatment, an esophageal duplication cyst must be a differential diagnosis. This can be confirmed with a CT scan and endoscopic ultrasound, with surgery being the best treatment for this disease

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Funding

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

Author information

Authors and Affiliations

  1. Tecnologico de Monterrey, Escuela de Medicina y Ciencias de la Salud, Dr. Ignacio Morones Prieto O 3000, 64710, Monterrey, Mexico

    Jorge Alberto Saldaña-Rodriguez, Mauricio Gonzalez-Urquijo, Diana Padilla-Armendariz, H. Alejandro Rodriguez & Adolfo Leyva-Alvizo

Authors
  1. Jorge Alberto Saldaña-Rodriguez
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  2. Mauricio Gonzalez-Urquijo
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  3. Diana Padilla-Armendariz
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  4. H. Alejandro Rodriguez
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  5. Adolfo Leyva-Alvizo
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Contributions

Jorge Saldaña-Rodriguez: conception of the work, drafting of manuscript, final approval, and agreement for the accountability of work. Mauricio Gonzalez-Urquijo: data interpretation, revising the manuscript, final approval, and agreement for the accountability of work. Diana Paola Padilla Armendariz: data interpretation, revising the manuscript, final approval, and agreement for the accountability of work. Hector Alejandro Rodriguez and Adolfo Leyva Alvizo: data interpretation, revising the manuscript, final approval, and agreement for the accountability of work.

Corresponding author

Correspondence to Adolfo Leyva-Alvizo.

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Conflict of interest

J.A. Saldaña-Rodriguez, M. Gonzalez-Urquijo, D. Padilla-Armendariz, H. A. Rodriguez, and A. Leyva-Alvizo declare that they have no competing interests.

Ethical standards

Written informed consent was obtained from the patient for publication of this case report and accompanying images. A copy of the written consent is available for review from the Editor in Chief of this journal on request. All procedures performed in studies involving human participants were in accordance with the ethical standards of the Tecnologico de Monterrey ethics committee and have therefore been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments.

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Saldaña-Rodriguez, J.A., Gonzalez-Urquijo, M., Padilla-Armendariz, D. et al. Chronic gastroesophageal reflux disease secondary to a distal esophageal duplication cyst associated with a hiatal hernia. Eur Surg 52, 229–233 (2020). https://doi.org/10.1007/s10353-020-00654-z

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  • DOI: https://doi.org/10.1007/s10353-020-00654-z

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