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Isolated cervical esophageal duplication: a rarity
Kamlesh K Sharma1, Pankaj Ranka, Surendra Meratiya
1Department of Pediatric Surgery, Regional Institute of Maternal and Child Health, Umaid Hospital, Dr SN Medical College, Jodhpur, Rajasthan 342003, India. kamleshksharma@gmail.com
Journal of Pediatric Surgery
|March 29, 2005
Summary
This study reports a rare case of cervical esophageal duplication in a 3-year-old boy, presenting with torticollis and Horner syndrome. This highlights a unique presentation of congenital esophageal malformations.
Area of Science:
- Congenital malformations
- Pediatric surgery
- Gastroenterology
Background:
- Alimentary canal duplications are common in the abdomen and thorax.
- Esophageal duplications are the second most frequent type.
- Cervical esophageal duplications are exceptionally rare, with only 8 prior cases documented.
Observation:
- A 3-year-old male presented with torticollis and chronic pressure symptoms.
- The patient exhibited a cystic duplication of the esophagus in the neck.
- Associated findings included a cervical vertebral defect and Horner syndrome.
Findings:
- This case represents the first reported instance of isolated cervical esophageal duplication causing torticollis.
- The malformation was linked to a congenital vertebral anomaly and neurological signs (Horner syndrome).
Implications:
- This case expands the known clinical spectrum of cervical esophageal duplications.
- Understanding the embryological basis is crucial for diagnosing and managing these rare pediatric conditions.
- Highlights the importance of considering rare congenital anomalies in pediatric patients with complex symptoms.