Oesophageal duplication cyst

Case contributed by Dr Arthur Daire

Presentation

Young boy presenting with difficuties and noisy breathing since birth. Persistent cough.

Patient Data

Age: 1 year 7 months
Gender: Male
CT

On the scout view, there is a superior mediastinal mass compressing the trachea.The projection above the cravicles implies a posteriorly located mass.

There is a 32 x 27 x 35mm (AP x TV x CC) posterior mediastinal cystic mass, with HU=22, which is displacing and compressing the trachea anteriorly. This is located  just above the aortic arch level. The esophagus is also severely compressed and displaced to the right side of this cystic mass. 

Right lower lobe (posterior segment) consolidation is also evident.

Case Discussion

Oesophageal duplication cysts are rare congenital malformation, difficult to differentiate from bronchogenic cysts on imaging (oesophageal duplication cyst vs bronchogenic cysts) As such histology  is required to make the differentiation.  This was a typical presentation in this case.

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Case information

rID: 31022
Case created: 16th Sep 2014
Last edited: 23rd Sep 2016
Inclusion in quiz mode: Included

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