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Published on: February 28, 2025
Laparoscopic excision of intra-abdominal oesophageal duplication cyst in a child
Vijay C Pujar1, Santosh Kurbet, Deepak K Kaltari
1Department of Paediatric Surgery, Jawaharlal Nehru Medical College, Belgaum, Karnataka, India.
Insights
This study details the first pediatric case of an intra-abdominal esophageal duplication cyst successfully removed using laparoscopy. This rare congenital malformation highlights advancements in minimally invasive surgery for children.
Area of Science:
- Gastroenterology
- Pediatric Surgery
- Congenital Malformations
Background:
- Duplication cysts are rare congenital malformations of the alimentary tract, occurring from mouth to anus.
- Esophageal duplication cysts account for 4% of these malformations, with intra-abdominal types being exceptionally rare.
Observation:
- The study presents the first reported pediatric case of a total intra-abdominal esophageal duplication cyst.
- This rare condition has previously only been documented in adult patients in the literature.
Findings:
- The intra-abdominal esophageal duplication cyst in this pediatric patient was successfully excised using laparoscopic techniques.
- This marks a significant advancement, as prior laparoscopic management reports for this specific condition were limited to adults.
Implications:
- This case demonstrates the feasibility and success of laparoscopic excision for intra-abdominal esophageal duplication cysts in pediatric patients.
- It expands minimally invasive surgical options for rare congenital gastrointestinal anomalies in children, potentially leading to better outcomes and faster recovery.
Abstract:
Duplication cysts are congenital cystic malformation of the alimentary tract consisting of a duplication of the segment to which it is adjacent. It can occur anywhere from mouth to anus. Oesophageal duplication cysts comprise 4% of the same. Of these, total intra-abdominal oesophageal duplication cysts are extremely rare. On review of literature, only 3 case reports of total intra-abdominal oesophageal duplication managed laparoscopically are found. All these cases were adults. We report the first paediatric case of intra-abdominal oesophageal duplication cyst excised laparoscopically.