Cases reported "Esophageal Cyst"

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11/31. Successful endoscopic treatment of an esophageal duplication cyst.

    Duplication cysts of the gastrointestinal tract are rare, particularly in adults. Endoscopic minimally invasive treatment is still a challenging approach even in the endoscopically accessible sections of the gastrointestinal tract. In a 25-year-old patient suffering from dysphagia, an endoscopy and subsequent endosonography revealed a spherical duplication cyst in the lower third of the esophagus, which prompted us to puncture the cyst and subsequently to perform a fenestration (marsupialization; diameter 1 cm) in the anterior wall of the cyst, resulting in permanent drainage of the cystic fluid. Because of the recurrent complaints of the patient after 6 weeks, the anterior wall of the duplication cyst, the former esophageal wall, was partially resected, resulting in a permanent 4-cm opening including the cystic cavity into the esophageal lumen. Thereafter, there were no further complaints from the patient and the findings in the follow-up endoscopy were normal. A successful endoscopic intervention for this type of gastrointestinal duplication cyst is described for the first time. The minimally invasive resection of the anterior wall of the esophageal duplication cyst, simultaneously with the former regular wall at this segment of the esophagus, resulted in permanent inclusion of the cystic cavity into the esophageal lumen with no disadvantageous passage of fluid and food through the lower esophagus or changes in the former cystic epithelium. This method is considered to be feasible and a reasonable treatment alternative to the more invasive surgical approach.
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12/31. Intra-abdominal esophageal duplication cyst in an adult.

    Esophageal duplication cysts are congenital anomalies of the foregut that are rarely found in the abdomen. An accurate preoperative diagnosis is not always possible, so the definitive diagnosis can be made by histologic examination of the surgical specimen. We experienced a case of Intra-abdominal esophageal duplication cyst in a 52-year-old female, who initially presented with an esophageal submucosal tumor on upper gastrointestinal endoscopy. She did not have any gastrointestinal symptoms. barium esophagography, chest computed tomography scan and endoscopic ultrasonography demonstrated the cystic lesion in the intra-abdominal esophagus. Transhiatal enucleation of the lesion was performed successfully via the abdominal approach with no postoperative complications. Histologic study showed that the cyst wall contained a two-layered muscle coat and the surface of the lumen was lined by pseudo-ciliated columnar epithelium. The patient has been doing well without any complaints for 3 months of follow-up period.
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13/31. Acute symptoms due to a huge duplication cyst ruptured into the esophagus.

    A 36-year-old housewife complained of a tight feeling in the pharynx with increasing dysphagia, dyspnea, and mild fever. Chest roentgenogram was interpreted as a cystic mass in the middle mediastinum. Computed tomography showed a cystic mass compressing the carina and the esophagus. Ten days after onset, symptoms were suddenly relieved followed by a tarry stool. The chest mass shadow decreased. Esophagofiberscopy showed two fistulas communicating with a cyst that had two chambers. thoracotomy performed 40 days after onset showed a true duplication of the esophagus with rupture into the esophagus. This is a rare case in which it was possible to observe the sequence of events of a ruptured intramural duplication cyst by means of chest roentgenography, computed tomography, esophagofiberscopy, and cystogram.
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14/31. An esophageal duplication cyst presenting as an abdominal mass.

    Esophageal duplication cysts are uncommon, benign lesions of the esophagus that have previously been described as occurring only in the thoracic cavity. Herein we report a case of an esophageal cyst located entirely within the abdomen, which is, to the best of our knowledge, the first such case reported. Surgery is generally the treatment of choice for esophageal cysts, and was indicated in this case for the diagnosis and management of symptoms attributable to the cyst.
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15/31. MRI appearance of esophageal duplication cyst.

    magnetic resonance imaging (MRI) was utilized to demonstrate an esophageal duplication cyst of the midesophagus in a 61-year-old woman. The radiographic, computed tomographic, and MRI features are illustrated.
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16/31. Duplication of the cervical esophagus. An unrecognized cause of respiratory distress in infants.

    Infants with respiratory distress demand prompt action and thorough evaluation for possible causes. An urgent but infrequent source of upper airway obstruction is a duplication cyst of the cervical esophagus. Standard references omit this diagnosis in the consideration of both respiratory distress and neck masses in infants. Two patients were admitted with respiratory distress and delayed recognition of a neck mass. Contrast and sonographic studies revealed a cystic mass displacing the trachea in each case. Careful excision promptly relieved symptoms, and histopathologic evaluation confirmed the diagnosis. Duplication of the esophagus can compromise the normal airway, thereby presenting with respiratory difficulty prior to recognition of a neck mass. X-ray studies demonstrating displacement of the trachea or esophagus due to a soft-tissue mass and documentation of a cyst by ultrasound will aid in establishing the diagnosis. Surgical principles include aspiration and excision of the mucosal lining, with preservation of the muscular coat and mucosal septum. Duplication of the cervical esophagus should be considered in the differential diagnosis of both respiratory distress and an enlarging neck mass in infants.
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keywords = esophagus
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17/31. Congenital esophageal cysts: case report and review of literature.

    Congenital cysts are unusual findings in the esophagus. We present a case report and discussion of the literature regarding this subject. We reviewed and classified 91 reported cases of congenital esophageal cysts. The embryology, distribution, and symptoms of each type of esophageal cyst are emphasized. Diagnosis of these tumors is quite difficult and the treatment is surgical. A brief discussion of acquired esophageal cysts and neuroenteric cysts is included for the sake of completeness.
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18/31. Foregut cysts in infants and children. Diagnosis and management.

    The charts of 15 patients with foregut cysts were reviewed. The lesions were intrathoracic in 14 patients and in the cervical area in one child. The importance of early diagnosis and surgical management is stressed. In untreated infants with foregut cysts, severe progressive and life-threatening airway obstruction may develop. Since the symptoms of this congenital lesion may simulate other more common diseases of the tracheobronchial tree and esophagus, the physician should become familiar with this disease entity so that proper diagnosis and surgical treatment will not be delayed. The study includes symptomatology, methods of diagnosis, pathologic findings and classification of the cysts.
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19/31. esophageal cyst, a case report and a review of the literature.

    The esophageal cyst is a rare disease only 20 cases of which have been reported in the literature in japan. We recently treated such a patient and at thoracotomy, we found the cyst to be located the submucosal layer of the esophagus. The cyst could be easily extirpated and the patient made an uneventful recovery. Gross findings revealed thick, yellow and mucus-like contents inside the cyst. Microscopically, the cyst was lined with ciliated columnar epithelium and there was no evidence of cartilage. The 21st such occurrence in japan is reported herein and a discussion is made of related literature.
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20/31. Multiple bronchogenic cysts of the esophagus.

    Esophageal location of bronchogenic cysts is rare especially if two cysts are present. We report such a case in a girl 17 years old who had several intramural esophageal smooth defects which looked like multiple leiomyomatosis of the esophagus. At surgery there were two bronchogenic cysts arising in the wall of the esophagus and lying on each side of the azygos arch.
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