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Published on: August 11, 2023
Incomplete duplication of the esophagus: a case report
Piyawan Chiengkriwate1, Sakda Patrapinyokul, Chareonkiat Rergkliang
1Pediatric Surgery Unit, Department of Surgery, Faculty of Medicine, Prince of Songkla University, Hat-Yai, Songkla 90110, Thailand. chiengkriwate_piyawan@hotmail.com
Insights
Incomplete esophageal duplication was diagnosed in a 20-month-old girl with esophageal perforation. Surgical resection of the duplication effectively treated the condition.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Congenital Abnormalities
Background:
- Esophageal duplication cysts are rare congenital anomalies.
- They can present with various symptoms, including esophageal perforation.
Observation:
- A 20-month-old girl presented with symptoms of esophageal perforation.
- Imaging revealed pneumomediastinum and subcutaneous emphysema.
- Contrast esophagography showed leakage from the cervical esophagus.
Findings:
- The patient was diagnosed with incomplete duplication of the esophagus.
- Endoscopic examination provided further diagnostic details.
- Complete surgical resection of the esophageal duplication was performed.
Implications:
- This case highlights the importance of considering esophageal duplication in pediatric patients with esophageal perforation.
- Successful surgical management can lead to a favorable outcome.
- Early diagnosis and intervention are crucial for managing this rare condition.
Abstract:
A case of incomplete duplication of the esophagus diagnosed in a 20-month-old girl with an esophageal perforation is presented. X-ray films of the chest showed pneumomediastinum and subcutaneous emphysema. A water soluble contrast esophagogram revealed a contrast leakage from the cervical esophagus to the thoracic inlet. The endoscopic findings are described. Complete resection of the esophageal duplication was effective.
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