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Oesophageal duplication cyst causing neonatal haemoptysis
Arbinder K Singal1, Veereshwar Bhatnagar, Dilip K Mitra
1Department of Paediatric Surgery, All India Institute of Medical Sciences, New Delhi.
Tropical Gastroenterology : Official Journal of the Digestive Diseases Foundation
|October 9, 2004
Summary
An infant presented with an esophageal duplication cyst causing hemoptysis, a rare presentation. This case highlights the need to consider rare causes for unusual symptoms in pediatric patients.
Area of Science:
- Gastroenterology
- Pediatric Surgery
- Thoracic Surgery
Background:
- Alimentary tract duplication anomalies are rare congenital malformations.
- Esophageal duplication cysts are a subset of these anomalies, typically presenting with dysphagia or respiratory symptoms.
- Hemoptysis is an exceptionally uncommon presenting symptom for esophageal duplication cysts.
Observation:
- An infant presented with hemoptysis, a highly unusual manifestation.
- Initial investigations revealed a right-sided chest mass.
- Diagnostic imaging confirmed a multiloculated cystic mass adjacent to the esophagus.
Findings:
- The cystic mass was surgically excised via right thoracotomy.
- Histopathological examination confirmed the diagnosis of an esophageal duplication cyst.
- Ectopic gastric mucosa was identified within the cyst wall.
Implications:
- This case expands the known clinical spectrum of esophageal duplication cysts.
- It underscores the importance of considering rare diagnoses in pediatric patients with atypical presentations.
- Highlights the diagnostic challenge and successful surgical management of this rare condition.