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Published on: July 21, 2023
[Gastrointestinal malformations: a cause of chest pain]
A González de Zárate Lorente1, M I Barrio Gómez de Agüero, M Molina Arias
1Servicio de Hepatología, Hospital Universitario La Paz. Madrid, España. anagzarate18@yahoo.es
Insights
Digestive causes of chest pain in children are rare. This study highlights two cases where gastrointestinal malformations, like diverticula and duplication cysts, were diagnosed after chest pain evaluation.
Area of Science:
- Pediatric Gastroenterology
- Pediatric Surgery
- Clinical Medicine
Background:
- Chest pain is an infrequent reason for pediatric consultation.
- Digestive system issues are even less common causes of pediatric chest pain.
Observation:
- Two pediatric patients presented with chest pain.
- Investigations revealed underlying gastrointestinal tract malformations: a diverticulum and an esophageal duplication cyst.
Findings:
- The diverticulum may have resulted from a traction effect due to tuberculous primary infection.
- Esophageal duplication cysts are congenital anomalies.
Implications:
- Gastrointestinal malformations, though uncommon, should be considered in the differential diagnosis of pediatric chest pain.
- Early diagnosis and management of these conditions are crucial for affected children.
Abstract:
Chest pain is an uncommon cause of consultation in childhood and is even less frequent if resulting from digestive causes. We present the cases of two patients with gastrointestinal tract malformations (diverticulum and esophageal duplication cyst) diagnosed after investigation of chest pain. A potential etiology of diverticulum could be a traction effect caused by fibrous adenopathy of tuberculous primary infection. Duplication cysts are inborn defects. Although these malformations are uncommon, clinicians should take them into account in patients with chest pain.
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