Oesophageal duplication cyst

Case contributed by Dr Jayanth Keshavamurthy

Presentation

Chest pain and abdominal pain for many years.

Patient Data

Age: 32
Gender: Male
CT

Oral contrast only looking if oesophagus connects to cyst. Not present.

X-ray

Double density over right atrium. Learn interfaces.

X-ray

2 years prior. Subtle double density with an extra interface lateral to right of spine.

CT

A well defined cyst in the distal foregut is seen. A few years later it is bigger and inflamed and has developed a thick wall.

X-ray

6 years prior. I do not see the double density here clearly, probably there but smaller.

Photo

Intra operative photograph.

Case Discussion

Final Pathologic Diagnosis


A) R8 LYMPH NODE (DISSECTION):
-    One lymph node, negative for malignancy (0/1).

B) PARAESOPHAGEAL CYST (EXCISION):
-    Enteric duplication cyst with exuberant acute and chronic     inflammation.
-    No malignancy identified.

EGD: Extrinsic mass in distal esophagus compressing on distal oesophagus.


OPERATIVE FINDINGS:     
1.    A distal right mediastinal paraesophageal mass consistent with duplication cyst. 
2.    Thick walled cystic mass. 
3.    The entire cystic mass was intramural.
4.    No esophageal mucosal/submucosal communication or disruption was noted of the normal esophagus when tested with insufflation intraluminally using a nasogastric tube. 

PlayAdd to Share

Case information

rID: 44073
Case created: 5th Apr 2016
Last edited: 13th Sep 2016
System: Chest
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.