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Published on: February 28, 2025

Life threatening complications caused by bronchogenic and oesophageal duplication cysts in a child

W Hajjar1, Y El-Madany, M Ashour

  • 1Thoracic Surgery Division, Department of Surgery, King Khalid University Hospital, Riyadh, Saudi Arabia.

The Journal of Cardiovascular Surgery
|March 11, 2003
PubMed

Insights

A young girl with respiratory distress had two mediastinal cysts compressing her airway and esophagus. Surgical removal of the esophageal enteric and bronchogenic cysts resolved her symptoms.

Area of Science:

  • Pediatric Surgery
  • Thoracic Surgery
  • Medical Imaging

Background:

  • Mediastinal cysts can cause significant airway compression in children.
  • Early diagnosis and intervention are crucial for managing pediatric respiratory distress.

Observation:

  • An 11-year-old girl presented with severe respiratory distress, fever, and sepsis.
  • CT imaging revealed superior and posterior mediastinal cysts causing extrinsic compression of the trachea, esophagus, and major bronchi.

Findings:

  • Complete resection of an intra-mural esophageal enteric cyst and a subcarinal bronchogenic cyst was performed via emergency thoracotomy.
  • The patient experienced an uneventful postoperative recovery.

Implications:

  • This case highlights the importance of prompt surgical management for complex mediastinal cysts in pediatric patients.
  • Successful surgical intervention can lead to complete resolution of severe respiratory compromise caused by mediastinal masses.

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