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[Esophageal mucocele: report of 2 pediatric cases]
N Achour-Arifa1, K Tlili-Graiess, F El Ouni
1Service de Radiologie, CHU Sahloul, Sousse, France.
Insights
This report details two pediatric cases of esophageal mucocele, a rare condition in children, following caustic soda ingestion and subsequent esophageal stricture. Thoracic computed tomography proved effective in diagnosing the mucocele and its extent.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Medical Imaging
Background:
- Esophageal mucocele is a rare condition in pediatric patients.
- Caustic ingestion can lead to esophageal strictures, necessitating complex surgical interventions.
- Mediastinal compression is a potential complication of esophageal pathology.
Observation:
- Two pediatric patients, aged 5 and 9, presented with esophageal mucocele after ingesting caustic soda.
- Both patients underwent surgical isolation of the esophagus and esophagocoloplasty for caustic stenosis.
- One patient exhibited a cervical fistulous tract, indicative of mediastinal compression.
Findings:
- Thoracic computed tomography (CT) effectively visualized the esophageal mucocele and its anatomical extension in both cases.
- Esophageal mucocele is infrequently documented in children, particularly in the context of corrosive strictures.
- Surgical management involved esophagocoloplasty, a reconstructive procedure using a colonic segment.
Implications:
- Thoracic CT is a valuable diagnostic tool for identifying esophageal mucoceles in children.
- Early recognition and management are crucial for pediatric patients with caustic esophageal injuries.
- This report highlights the importance of considering rare complications like esophageal mucocele in pediatric caustic ingestions.
Abstract:
Two cases of esophageal mucocele in pediatric patients are reported: two children of 5 and 9 years respectively underwent surgical isolation of the esophagus and esophagocoloplasty for caustic stenosis related to accidental ingestion of caustic soda. Clinical pattern of mediastinal compression was proved with cervical fistulous tract in one case. In both cases, thoracic computed tomography was a sensitive imaging method to demonstrate the mucocele and its extension. Esophageal mucocele is rarely described in children, especially following esophageal corrosive stricture.