Esophageal duplication cyst

Case contributed by Dr Michael P Hartung

Presentation

Chest fullness and difficulty swallowing.

Patient Data

Age: 35
Gender: Female
X-ray

Subtle rounded subcarinal density projects over the spine. Otherwise, normal. 

CT

Round, low-attenuation subcarinal mass. It compresses or arises from the esophagus. 

Fluoroscopy

Barium esophagram demonstrates oval mass compressing the esophageal lumen, likely intramural in location. 

MRI

Oval subcarinal mass with fluid-fluid level, centered on the esophagus. 

Case Discussion

Pathology-proven esophageal duplication cyst. Imaging findings are demonstrated on multiple modalities. Esophageal duplication cysts can be adjacent to or within the wall. They can contain ectopic gastric mucosa, which can result in hemorrhage (possibly accounting for fluid-fluid level in this case). 

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Case information

rID: 59039
Published: 18th Mar 2018
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included
Institution: Ascension Healthcare

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